Risk factor analysis for nonocclusive mesenteric ischemia following cardiac surgery: A case-control study

Although rare, postcardiac surgery nonocclusive mesenteric ischemia (NOMI) is a life-threatening condition. Identifying the risk factors for NOMI during immediate postoperative period may help early detection and intervention, which leads to improved clinical outcomes. The objective of this study wa...

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Bibliographic Details
Published in:Medicine (Baltimore) 2017-09, Vol.96 (37), p.e8029-e8029
Main Authors: Lim, Ju Yong, Kim, Joon Bum, Jung, Sung Ho, Choo, Suk Jung, Chung, Cheol Hyun, Lee, Jae Won
Format: Article
Language:English
Subjects:
Age Factors
Aged
Biomarkers - blood
Cardiac Surgical Procedures
Case-Control Studies
Female
Humans
Lactic Acid - blood
Male
Mesenteric Ischemia - diagnosis
Mesenteric Ischemia - epidemiology
Middle Aged
Observational Study
Postoperative Complications - diagnosis
Postoperative Complications - epidemiology
Prognosis
Random Allocation
Risk Assessment
Risk Factors
Sigmoidoscopy
Survival Analysis
Tomography, X-Ray Computed
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Summary:Although rare, postcardiac surgery nonocclusive mesenteric ischemia (NOMI) is a life-threatening condition. Identifying the risk factors for NOMI during immediate postoperative period may help early detection and intervention, which leads to improved clinical outcomes. The objective of this study was to identify the clinical features and risk factors of NOMI for prognosis identification after cardiac surgery, focusing on immediate postoperative parameters.Among 9445 patients who underwent cardiac surgery over a span of 9 years, 40 NOMI cases (0.4%) requiring surgical interventions were reviewed. Suspected NOMI was diagnosed by sigmoidoscopy or computed tomography. To identify the risk factors, a control group (case: control = 1:3 ratio) was randomly selected and compared using logistic regression models.NOMI was diagnosed after a mean of 8.1 ± 9.6 days following cardiac surgery. Age (odds ratio: 1.16, 95% confidence interval: 1.08-1.25, P 
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000008029