Study of Preoperative Prognostic Factors in Patients with Colorectal Perforation

Abstract

We analyzed the clinical characteristics of 96 patients with colorectal perforation who underwent emergency surgery at our hospital between January 2008 and December 2015. Of the total, 11 patients died during hospitalization and 10 patients (10.4%) died of complications associated with the acute clinical state. We also analyzed the preoperative prognostic factors. Multivariate analysis identified preoperative PLT<100,000/μL, preoperative hemodialysis and preoperative shock as independent adverse prognostic factors. The SOFA score was significantly higher in the non-survivor group than in the survivor group. A comparison of the SOFA parameters showed that the preoperative coagulation, cardiovascular and renal scores were significantly higher in the non-survivor group than in the survivor group. Colorectal perforation is often associated with poor outcomes；therefore, early detection of patients with a poor predicted prognosis and prompt intensive treatment are important.