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Table 3 Post-operative outcomes in acute high-risk abdominal surgery

From: Perioperative changes in fluid distribution and haemodynamics in acute high-risk abdominal surgery

N (%)

Intestinal obstruction (n = 27)

Perforated viscus (n = 26)

Anastomotic leakage (n = 20)

P value (chi-square)

30-day mortality

1 (3.7)

3 (11.5)

2 (10.0)

0.834

Patients with at least one 30-day major complication (CD > II)

7 (25.9)

17 (65.4)

7 (35.0)

0.003

ICU admission immediately after surgery

3 (11.1)

11 (42.3)

4 (20.0)

0.026

Need for respiratory support*

1 (3.7)

6 (23.1)

1 (5.0)

0.070

Need for vasopressors beyond 24 h after surgery*

6 (22.2)

10 (38.4)

2 (10.0)

0.079

Renal

    

Acute kidney injury**

4 (14.8)

10 (38.5)

3 (15.0)

0.074

Need for post-operative RTT

0 (0.0)

4 (15.4)

3 (13.4)

0.059

Gastrointestinal

6(22.2)

14 (53.8)

8 (40.0)

0.011

Reoperation for acute abdominal pathology

4 (14.8)

9 (34.6)

7(35.0)

0.245

Reoperation for surgical wound infection

1 (3.7)

4 (15.4)

0 (0.0)

0.271

US-guided drainage of intraabdominal abscess

4 (14.8)

2 (7.6)

1 (5.0)

0.649

Admission to ICU* due to postop. septic shock

2 (7.4)

9 (34.6)

5 (25.0)

0.499

Pulmonary

7 (26.0)

14 (53.8)

8 (40.0)

0.208

Pulmonary oedema

5 (18.5)

6 (23.1)

3 (15.0)

0.146

US-guided pleural drainage

1 (3.7)

10 (38.5)

2 (10.0)

0.048

Admission to ICU* due to respiratory failure

1 (3.7)

4 (15.4)

7 (35.0)

0.105

  1. CD Clavien–Dindo criteria for post-operative complications; ICU Intensive Care Unit; RRT renal replacement therapy; * emergency reoperations for intestinal obstruction, perforated viscus, anastomotic leakage or surgical wound infection; US ultrasound-guided drainage of intraabdominal abscess, ICU stay due to septic shock; Pulmonary: US ultrasound-guided pleural drainage, admission to ICU due to respiratory failure, X-ray-verified pulmonary oedema
  2. *At any point during the initial hospital stay
  3. **RIFLE: criteria for acute kidney injury