Implementation of an adhesive small bowel obstruction protocol using low-osmolar water soluble contrast and the impact on patient outcomes.
Am J Surg
; 217(4): 689-693, 2019 04.
Article
em En
| MEDLINE
| ID: mdl-30213382
ABSTRACT
BACKGROUND:
Small bowel obstruction (SBO) is a common condition leading to numerous hospital admissions and operations. Standardized care of adhesive SBO patients has not been widely implemented in hospital systems.METHODS:
A prospective cohort of SBO patients was compared to a historical cohort of SBO patients after implementation of a SBO protocol using evidence-based guidelines and Omnipaque, a low-osmolar water soluble contrast. Patients without a history of abdominal surgery were excluded and data was collected through chart review.RESULTS:
Univariate analyses demonstrated a decrease in both LOS by 1.35 days and in the proportion of patients receiving surgery (37% vs 25%; pâ¯<â¯0.05). There was a decrease in time to surgery, rate of SBR, and rate of complications, yet an increase in readmission, although these findings were not statistically significant.CONCLUSIONS:
Utilizing an evidence-based SBO protocol can lead to shorter LOS and may result in fewer operations for adhesive SBO patients.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Iohexol
/
Aderências Teciduais
/
Protocolos Clínicos
/
Meios de Contraste
/
Obstrução Intestinal
/
Intestino Delgado
Tipo de estudo:
Guideline
/
Observational_studies
Limite:
Aged
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2019
Tipo de documento:
Article