ArticleWorld journal of emergency surgery : WJES2021
Combination of dirty mass volume and APACHE II score predicts mortality in patients with colorectal perforation.
Article in World journal of emergency surgery : WJES, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Scoring model for the diagnosis of colorectal perforation and its differentiation from gastroduodenal perforation.Surgery today · 2025Article
- Combination of radiomic and clinical characteristics to predict mortality in patients with colorectal perforation.International journal of colorectal disease · 2025Article
- Risk Factors for Postoperative Mortality in Patients with Colorectal Diverticular Perforation.Journal of the anus, rectum and colon · 2024Article
- Prediction of hospital mortality after colorectal perforation surgery from inflammation-based prognostic scores.Surgery open science · 2022Article
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5 authors.
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Abstract
background"Dirty mass" is a specific computed tomography (CT) finding that is seen frequently in colorectal perforation. The prognostic significance of this finding for mortality is unclear.
methodsFifty-eight consecutive patients with colorectal perforation who underwent emergency surgery were retrospectively reviewed in the study. Dirty mass identified on multi-detector row CT (MDCT) was 3D-reconstructed and its volume was calculated using Ziostation software. Dirty mass volume and other clinical characteristics were compared between survivor (n = 45) and mortality groups (n = 13) to identify predictive factors for mortality. Mann-Whitney U test and Χ
resultsDirty mass was identified in 36/58 patients (62.1%) and located next to perforated colorectum in all cases. Receiver-operating characteristic (ROC) curve analysis identified the highest peak at 96.3 cm
conclusionsThe combination of dirty mass volume and APACHE II score could stratify the postoperative mortality risk in patients with colorectal perforation. According to the risk stratification, surgeons might be able to decide the surgical procedures and intensity of postoperative management.
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