Abstract
We studied the predictive factors regarding prognoses and the post-operative hospitalization periods of patients with a colorectal perforation. We targeted 54 patients who had undergone surgery in our department during the past 7 years. We studied the predictive factors regarding prognoses and postoperative hospitalization in two groups for each, survivors and nonsurvivors for the former, and for the latter the group with a post-operative hospitalization period of 30 days or less (the short-term group) and of 31 days or more (the long-term group). There were 6 patients (11.1%) who died. In the nonsurvivors when compared to the survivors, there were significantly more patients found in a univariate analysis with Systemic Inflammatory Response Syndrome (SIRS), Acute Physiology and Chronic Health Evaluation (APACHE) II score high values, free perforation, fecal peritonitis, and Endotoxin absorption therapy. There were 30 patients (62.5%) in the long-term group. In a multivariate analysis, the number of comorbidities and wound Infection were selected as independent predictive factors of the post-operative hospitalization period. In colorectal perforation, therapy for sepsis is important for patients who have the prognosis predictive factors. Furthermore, for patients whose lives can be saved, in order to shorten the post-operative hospitalization period, sufficient peri-operative management for comorbidity and intra-operative and post-operative measures against wound infection are necessary.
