Preoperative MELD-Na Score Predicts 30-day Post-operative Complications After Colorectal Resection for Malignancy
Introduction:Predicting possible complications in colon surgery is important in terms of reducing postoperative mortality and morbidity rates. Various scoring methods have been used to predict these complications. The MELD score was developed to predict mortality following Transjugular Intrahepatic...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2023-02-01
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| Series: | İstanbul Medical Journal |
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http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/preoperative-meld-na-score-predicts-30-day-post-op/58705
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| author | Adil Koyuncu Ömer Akay Hüsnü Şevik Mert Güler Sena Cağla Özden Hogir Aslan Fatih Göksel Seçkin Cihad Tatar |
| author_facet | Adil Koyuncu Ömer Akay Hüsnü Şevik Mert Güler Sena Cağla Özden Hogir Aslan Fatih Göksel Seçkin Cihad Tatar |
| author_sort | Adil Koyuncu |
| collection | DOAJ |
| description | Introduction:Predicting possible complications in colon surgery is important in terms of reducing postoperative mortality and morbidity rates. Various scoring methods have been used to predict these complications. The MELD score was developed to predict mortality following Transjugular Intrahepatic Portosystemic Shunt (TIPS) placement in cirrhotic patients. This model was revised by adding Na data and used to predict complications in non-cirrhotic patients. We investigated the value of the MELD-Na score in predicting postoperative 30-day complications in patients undergoing colorectal resection for malignancy.Methods:Patients who underwent colorectal resection for malignant diseases were included in the study. Demographics and clinical outcomes were recorded. The MELD-Na scores of the patients were calculated within 48 h before the surgery. Patients were divided into 2 groups according to the status of development of any complication.Results:Age, gender, operative time, and length of stay was not statistically significant for developing complications. The MELD-Na score was significantly higher in patients with any complications. Also, MELD-NA score, stoma creation, and postoperative erythrocyte suspension replacement were found to be independent risk factors for developing complications in patients undergoing surgery for colon cancer.Conclusion:The MELD-Na score may predict the complications that may develop in the first 30 days postoperatively in patients undergoing colorectal resection for malignant diseases. |
| first_indexed | 2024-04-10T07:07:32Z |
| format | Article |
| id | doaj.art-ac0b53d0242c4ea9a23ae4d9a3b50051 |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T07:07:32Z |
| publishDate | 2023-02-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-ac0b53d0242c4ea9a23ae4d9a3b500512023-02-27T05:59:15ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2023-02-01241535610.4274/imj.galenos.2023.4188213049054Preoperative MELD-Na Score Predicts 30-day Post-operative Complications After Colorectal Resection for MalignancyAdil Koyuncu0Ömer Akay1Hüsnü Şevik2Mert Güler3Sena Cağla Özden4Hogir Aslan5Fatih Göksel Seçkin6Cihad Tatar7 University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey Acıbadem Taksim Hospital, Clinic of General Surgery, İstanbul, Turkey Acıbadem Taksim Hospital, Clinic of General Surgery, İstanbul, Turkey Introduction:Predicting possible complications in colon surgery is important in terms of reducing postoperative mortality and morbidity rates. Various scoring methods have been used to predict these complications. The MELD score was developed to predict mortality following Transjugular Intrahepatic Portosystemic Shunt (TIPS) placement in cirrhotic patients. This model was revised by adding Na data and used to predict complications in non-cirrhotic patients. We investigated the value of the MELD-Na score in predicting postoperative 30-day complications in patients undergoing colorectal resection for malignancy.Methods:Patients who underwent colorectal resection for malignant diseases were included in the study. Demographics and clinical outcomes were recorded. The MELD-Na scores of the patients were calculated within 48 h before the surgery. Patients were divided into 2 groups according to the status of development of any complication.Results:Age, gender, operative time, and length of stay was not statistically significant for developing complications. The MELD-Na score was significantly higher in patients with any complications. Also, MELD-NA score, stoma creation, and postoperative erythrocyte suspension replacement were found to be independent risk factors for developing complications in patients undergoing surgery for colon cancer.Conclusion:The MELD-Na score may predict the complications that may develop in the first 30 days postoperatively in patients undergoing colorectal resection for malignant diseases. http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/preoperative-meld-na-score-predicts-30-day-post-op/58705 colorectal cancercomplicationmeld-na |
| spellingShingle | Adil Koyuncu Ömer Akay Hüsnü Şevik Mert Güler Sena Cağla Özden Hogir Aslan Fatih Göksel Seçkin Cihad Tatar Preoperative MELD-Na Score Predicts 30-day Post-operative Complications After Colorectal Resection for Malignancy İstanbul Medical Journal colorectal cancer complication meld-na |
| title | Preoperative MELD-Na Score Predicts 30-day Post-operative Complications After Colorectal Resection for Malignancy |
| title_full | Preoperative MELD-Na Score Predicts 30-day Post-operative Complications After Colorectal Resection for Malignancy |
| title_fullStr | Preoperative MELD-Na Score Predicts 30-day Post-operative Complications After Colorectal Resection for Malignancy |
| title_full_unstemmed | Preoperative MELD-Na Score Predicts 30-day Post-operative Complications After Colorectal Resection for Malignancy |
| title_short | Preoperative MELD-Na Score Predicts 30-day Post-operative Complications After Colorectal Resection for Malignancy |
| title_sort | preoperative meld na score predicts 30 day post operative complications after colorectal resection for malignancy |
| topic | colorectal cancer complication meld-na |
| url |
http://istanbulmedicaljournal.org/archives/archive-detail/article-preview/preoperative-meld-na-score-predicts-30-day-post-op/58705
|
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