IROA: International Register of Open Abdomen, preliminary results

• Published in: World journal of emergency surgery 2017-02, Vol.12 (1), p.10-10, Article 10
• Main Authors: Coccolini, Federico, Montori, Giulia, Ceresoli, Marco, Catena, Fausto, Ivatury, Rao, Sugrue, Michael, Sartelli, Massimo, Fugazzola, Paola, Corbella, Davide, Salvetti, Francesco, Negoi, Ionut, Zese, Monica, Occhionorelli, Savino, Maccatrozzo, Stefano, Shlyapnikov, Sergei, Galatioto, Christian, Chiarugi, Massimo, Demetrashvili, Zaza, Dondossola, Daniele, Yovtchev, Yovcho, Ioannidis, Orestis, Novelli, Giuseppe, Nacoti, Mirco, Khor, Desmond, Inaba, Kenji, Demetriades, Demetrios, Kaussen, Torsten, Jusoh, Asri Che, Ghannam, Wagih, Sakakushev, Boris, Guetta, Ohad, Dogjani, Agron, Costa, Stefano, Singh, Sandeep, Damaskos, Dimitrios, Isik, Arda, Yuan, Kuo-Ching, Trotta, Francesco, Rausei, Stefano, Martinez-Perez, Aleix, Bellanova, Giovanni, Fonseca, Vinicius Cordeiro, Hernández, Fernando, Marinis, Athanasios, Fernandes, Wellington, Quiodettis, Martha, Bala, Miklosh, Vereczkei, Andras, Curado, Rafael L, Fraga, Gustavo Pereira, Pereira, Bruno M, Gachabayov, Mahir, Chagerben, Guillermo Perez, Arellano, Miguel Leon, Ozyazici, Sefa, Costa, Gianluca, Tezcaner, Tugan, Ansaloni, Luca
• Format: Article
• Language: English
• Subjects: Abdominoplasty; Care and treatment; Children; Health aspects; Medical records; Pancreatitis; Patient outcomes
• ISSN: 1749-7922; 1749-7922
• DOI: 10.1186/s13017-017-0123-8

No definitive data about open abdomen (OA) epidemiology and outcomes exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) promoted the International Register of Open Abdomen (IROA). A prospective observational cohort study including patients with an OA treatment. Data were recorded on a web platform (Clinical Registers®) through a dedicated website: www.clinicalregisters.org. Four hundred two patients enrolled. Adult patients: 369 patients; Mean age: 57.39±18.37; 56% male; Mean BMI: 36±5.6. OA indication: Peritonitis (48.7%), Trauma (20.5%), Vascular Emergencies/Hemorrhage (9.4%), Ischemia (9.1%), Pancreatitis (4.2%),Post-operative abdominal-compartment-syndrome (3.9%), Others (4.2%). The most adopted Temporary-abdominal-closure systems were the commercial negative pressure ones (44.2%). During OA 38% of patients had complications; among them 10.5% had fistula. Definitive closure: 82.8%; Mortality during treatment: 17.2%. Mean duration of OA: 5.39(±4.83) days; Mean number of dressing changes: 0.88(±0.88). After-closure complications: (49.5%) and Mortality: (9%). No significant associations among TACT, indications, mortality, complications and fistula. A linear correlationexists between days of OA and complications (Pearson linear correlation = 0.326