Textbook outcome in short bowel syndrome.
Parenteral nutrition
Short bowel syndrome
Textbook outcome
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
14 Sep 2024
14 Sep 2024
Historique:
received:
02
07
2024
revised:
09
09
2024
accepted:
13
09
2024
medline:
22
9
2024
pubmed:
22
9
2024
entrez:
21
9
2024
Statut:
aheadofprint
Résumé
Textbook outcome (TO) is a single composite score representing ideal care for a procedure or medical condition. Short bowel syndrome (SBS) patients are at high risk for complications and death. Our aim was to determine the incidence of and predictive factors for a TO in SBS patients. 515 adults with SBS were followed for 12 months after initial hospital discharge for SBS. TO was defined based on eight outcome parameters. Demographic data, intestinal anatomy, and nutritional outcome were compared in patients with and without TO. 78 (15 %) patients had a TO. The frequency of the different components of TO were: PN < 1 year (39 %), BMI >18.5 kg/m A TO is achieved in 15 % SBS patients using the selected criteria. This is largely attributable to continued need for PN. Intestinal length and anatomy were independent predictors of TO.
Sections du résumé
BACKGROUND
BACKGROUND
Textbook outcome (TO) is a single composite score representing ideal care for a procedure or medical condition. Short bowel syndrome (SBS) patients are at high risk for complications and death. Our aim was to determine the incidence of and predictive factors for a TO in SBS patients.
METHODS
METHODS
515 adults with SBS were followed for 12 months after initial hospital discharge for SBS. TO was defined based on eight outcome parameters. Demographic data, intestinal anatomy, and nutritional outcome were compared in patients with and without TO.
RESULTS
RESULTS
78 (15 %) patients had a TO. The frequency of the different components of TO were: PN < 1 year (39 %), BMI >18.5 kg/m
CONCLUSIONS
CONCLUSIONS
A TO is achieved in 15 % SBS patients using the selected criteria. This is largely attributable to continued need for PN. Intestinal length and anatomy were independent predictors of TO.
Identifiants
pubmed: 39305767
pii: S0002-9610(24)00524-5
doi: 10.1016/j.amjsurg.2024.115972
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
115972Informations de copyright
Copyright © 2024 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.