ArticleBMC gastroenterology2023
Ischemia prediction score (IsPS) in patients with strangulated small bowel obstruction: a retrospective cohort study.
Article in BMC gastroenterology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Radiological diagnosis of acute mesenteric ischemia in adult patients: a systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Article
- Predicting strangulated small bowel obstruction: how the combination of CT findings with clinical and laboratory parameters improves diagnostic accuracy.Emergency radiology · 2026Article
- Psoas Muscle Volume as a Predictor of Postoperative Complications in Patients Undergoing Emergency Surgery for Strangulated Small Bowel Obstruction: A Retrospective Single-Center Study.Annals of gastroenterological surgery · 2026Article
- A novel predictive scoring system for irreversible intestinal ischemia in patients with strangulated bowel obstruction.Surgery today · 2026Article
- Advancing precision triage in strangulated small bowel obstruction: from static scores to dynamic multiparametric models.Frontiers in surgery · 2026Review
- Arterial and venous phase evaluation in fast kV-switching dual-energy CT for detecting acute small bowel ischemia caused by small bowel obstruction.Japanese journal of radiology · 2026Article
- Diagnostic Utility of CT Findings as Indicators for Bowel Resection in Strangulated Small Bowel Obstruction.Journal of clinical medicine · 2025Article
- An easily acquirable predictive model for strangulated bowel obstruction: the BAR-N.BMC surgery · 2025Article
- Computed tomography value ascites and mesenteric fluid predict intestinal necrosis in strangulated small bowel obstruction.Scientific reports · 2025Article
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9 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundsIntestinal ischemia of strangulated small bowel obstruction (SSBO) requires prompt identification and early intervention. This study aimed to evaluate the risk factors and develop a prediction model of intestinal ischemia requiring bowel resection in SSBO.
methodsThis was a single-center, retrospective cohort study of consecutive patients underwent emergency surgery for SSBO from April 2007 to December 2021. Univariate analysis was performed to identify the risk factors for bowel resection in these patients. Two clinical scores (with contrasted computed tomography [CT] and without contrasted CT) were developed to predict intestinal ischemia. The scores were validated in an independent cohort.
resultsA total of 127 patients were included, 100 in the development cohort (DC) and 27 in the validation cohort (VC). Univariate analysis showed that high white blood cell count (WBC), low base excess (BE), ascites and reduced bowel enhancement were significantly associated with bowel resection. The ischemia prediction score (IsPS) comprised 1 point each for WBC ≥ 10,000/L, BE ≤ -1.0 mmol/L, ascites, and 2 points for reduced bowel enhancement. The simple IsPS (s-IsPS, without contrasted CT) of 2 or more had a sensitivity of 69.4%, specificity of 65.4%. The modified IsPS (m-IsPS, with contrasted CT) of 3 or more had a sensitivity of 86.7%, specificity of 76.0%. AUC of s-IsPS was 0.716 in DC and 0.812 in VC, and AUC of m-IsPS was 0.838 and 0.814.
conclusionIsPS predicted possibility of ischemic intestinal resection with high accuracy and can help in the early identification of intestinal ischemia in SSBO.
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