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| 1 | Predictors of dehydration and acute renal failure in patients with diverting loop ileostomy creation after colorectal surgery显示文摘BACKGROUND Despite the potential benefits of fecal diversion after low pelvic anastomosis in colorectal surgery, diverting loop ileostomy construction is related to significant rates of complications. AIM To determine potential predictors of high output related complications in patients with diverting loop ileostomy creation after colorectal surgery. METHODS Patients who underwent open and laparoscopic colorectal surgery requiring a diverting loop ileostomy from January 2010 to March 2018 were retrospectively analyzed. We included patients older than 18 years, who underwent colorectal surgery with primary low pelvic anastomosis, and with the creation of a diverting loop ileostomy, at elective or emergency settings for the treatment of benign or malignant conditions. Univariate and multivariate logistic regression analysis was used to determine the effect of the potential predictors on the rate of high output related complications. The high output related complications were dehydration and acute renal failure that required visits to the emergency department and hospitalizations. RESULTS Of the 102 patients included in the study, 23.5%(n = 24) suffered high output related complications. In this group of patients at least one visit to the emergency department (mean 1.6), and at least one readmission to the hospital was needed. The factors associated with high-output ileostomy, in the univariate analysis, were: urgent surgical intervention (OR = 2.6;P = 0.047), the development of postoperative complications (OR = 3;P = 0.024), have ulcerative colitis (OR = 4.8;P = 0.017), use of steroids (OR = 4.3;P = 0.010), mean output at discharge greater than 1000 mL/24 h (OR = 3.2;P = 0.016), and use of loperamide at discharge (OR = 2.8;P = 0.032). Multivariate logistic regression analysis identified two independent risk factors for high output related complications: ulcerative colitis [OR = 7.6 (95%CI: 1.81-31.95);P = 0.006], and ileostomy output at discharge ≥ 1000 mL/24 h [OR = 3.3 (1.18-9.37);P = 0.023]. CONCLUSION In our study, patients with ulcerative colitis and those with an ileostomy output above 1000 mL/24 h at discharge, were at increased risk of high output related complications. | Omar Vergara-Fernández Mario Trejo-Avila Oscar Santes Danilo Solórzano-Vicu?a Noel Salgado-Nesme | 2019 | World Journal of Clinical Cases2019,7,14: | 2 |
| 2 | Adaptive service composition in flexible processes显示文摘 | Danilo A Barbara P | 2007 | IEEE Transactions on Software Engineering2007,33,6: | 1 |
| 3 | The effects of tertiary wastewater treatment on the prevalence of antimicrobial re- sistant bacteria显示文摘 | Luca G Danilo M A Lo F W | 2002 | Water Research2002,36,: | 1 |
| 4 | Adaptive service composition in flexible processes 显示文摘 | Danilo A Barbara P | 2007 | IEEE Transactions on Software Engineering2007,33,6: | 1 |
| 5 | Raman study of nanosized titania prepared by sol -gel route显示文摘 | DANILO B GIOVANNI A PIER P L | 1998 | J Non-Crys Soli1998,232,: | 1 |
| 6 | The evolution and resolution of long-term cardiac memory显示文摘 | Danilo Jr P Wang J | 1998 | Circulation1998,97,: | 1 |
| 7 | Adaptive service composition in flexible processes显示文摘 | DANILO A BARBARA P | 2007 | IEEE Transactions on Software Engineering2007,33,6: | 1 |
| 8 | Adaptive service composition in flexible processes显示文摘 | Danilo A Barbara P | 2007 | IEEE Transactions on Software Engineering2007,33,6: | 1 |
| 9 | Determination of Nicotinoid Insecticide Residues in Drinkingwater by Liquid Chromatography with Electrospray Ionization Mass Spectrometry显示文摘 | SERENELLA S PAOLA F DANILO A B | 2005 | Analytica Chimica Acta2005,553,12: | 1 |
| 10 | Adaptive service composition in flexible processes显示文摘 | Danilo A Barbara P | 2007 | IEEE Transactions on Software Engineering2007,33,6: | 1 |
| 11 | Multiresidue Determination of Nicotinoid Insecticide Residues in Drinkingwater by Liquid Chromatography with Electrospray Ionization Mass Spectrometry显示文摘 | SERENELLA S PAOLA F DANILO A B | 2005 | Analytica Chimica Acta2005,553,12: | 1 |
| 12 | Obese adolescents who gained/maintained or lost weight had similar body composition and cardiometabolic risk factors following a multidisciplinary intervention显示文摘 | JOSIANE A DANILO F LUZIA J H | 2014 | J Exerc Sci Fitness2014,12,1: | 1 |
| 13 | Towards the optimal learning rate for backpropagation显示文摘 | DANILO P Mandic JONATHON A Chambers | 2000 | Neural Processing Letters2000,,11: | 1 |
| 14 | The evolution and resolution of long-term cardiac memory显示文摘 | Shvikin A Danilo Jr P Wang J | 1998 | Circulation1998,97,: | 1 |
| 15 | Expression and function of a biological pacemaker in canine heart显示文摘 | QU J PLOTNIKOV A N DANILO P Jr | 2003 | Circulation2003,7,: | 1 |
| 16 | Spoilage microbiota associated to the storage of raw meat in different conditions显示文摘 | Doulgeraki A I Danilo E Villani F | 2012 | International Journal of Food Microbiology2012,157,2: | 1 |
| 17 | Changes in beef con- sumption and retailing competitiveness in Brazil: A rapid appraisal显示文摘 | Danilo R D Aguiar A Lago D | 2002 | Agribusiness2002,18,6: | 1 |
| 18 | Developme ntal changes in modulation of cardiac repolarization by sympathetic stimulation the role of beta and alpha adrenergic receptors 显示文摘 | Cua M Shivilkin A Danilo P Jr | 1997 | J Cardiovasc Electrophysiol1997,8,: | 1 |
| 19 | Expression and function of a biological pacemaker in canine heart 显示文摘 | Qu j Plotnikov A Danilo PJ | 2003 | Circulation2003,107,: | 1 |
| 20 | Sequential Data Fusion via Vector Spaces: Fusion of Heterogeneous Data in the Complex Domain显示文摘 | DANILO P M SU L G KAZUYUKI A | 2007 | The Journal of VLSI Signal Processing2007,48,1: | 1 |