Risk factors for emergency surgery for diverticulitis: A retrospective multicentric French study at 41 hospitals

Camille Godet; Charles Sabbagh; Laura Beyer-Berjot; Mehdi Ouaissi; Philippe Zerbib; Bridoux Valérie; Gilles Manceau; Yves Panis; Etienne Buscail; Aurélien Venara; Iman Khaoudy; Martin Gaillard; Manon Viennet; Alexandre Thobie; Benjamin Menahem; Clarisse Eveno; Catherine Bonnel; Jean-Yves Mabrut; Bogdan Badic; Julien Chautard; Yassine Eid; Emilie Duchalais; Zaher Lakkis; Eddy Cotte; Anaïs Laforest; Véronique Desfourneaux-Denis; Léon Maggiori; Lionel Rebibo; Christou Niki; Ali Talal; Diane Mege; Cécile Bonnamy; Adeline Germain; François Mauvais; Christophe Tresallet; Jean Roudie; Alexis Laurent; Bertrand Trilling; Martin Bertrand; Damien Massalou; Benoit Romain; Hadrien Tranchart; Alexandra Pellegrin; Olivier Dejardin; Arnaud Alves; French Surgical Association

doi:10.1016/j.surg.2024.02.009

Retour

Risk factors for emergency surgery for diverticulitis: A retrospective multicentric French study at 41 hospitals

Article de revue

Avec comité de lecture

Risk factors for emergency surgery for diverticulitis: A retrospective multicentric French study at 41 hospitals

Camille Godet, Charles Sabbagh, Laura Beyer-Berjot, Mehdi Ouaissi, Philippe Zerbib, Bridoux Valérie, Gilles Manceau, Yves Panis, Etienne Buscail, Aurélien Venara, …

Surgery, Vol.175(6), pp.1508-1517

01/06/2024

DOI: https://doi.org/10.1016/j.surg.2024.02.009

PMID: 38609785

Résumé

Adult

Aged

Aged, 80 and over

Diverticulitis, Colonic - epidemiology

Diverticulitis, Colonic - surgery

Elective Surgical Procedures - statistics & numerical data

Emergencies

Emergency Treatment - statistics & numerical data

Female

France - epidemiology

Humans

Male

Middle Aged

Retrospective Studies

Risk Factors

Sigmoid Diseases - surgery

The observed increase in the incidence of complicated diverticulitis may lead to the performance of more emergency surgeries. This study aimed to assess the rate and risk factors of emergency surgery for sigmoid diverticulitis. The primary outcomes were the rate of emergency surgery for sigmoid diverticulitis and its associated risk factors. The urgent or elective nature of the surgical intervention was provided by the surgeon and in accordance with the indication for surgical treatment. A mixed logistic regression with a random intercept after multiple imputations by the chained equation was performed to consider the influence of missing data on the results. Between 2010 and 2021, 6,867 patients underwent surgery for sigmoid diverticulitis in the participating centers, of which one-third (n = 2317) were emergency cases. In multivariate regression analysis with multiple imputation by chained equation, increasing age, body mass index <18.5 kg/m , neurologic and pulmonary comorbidities, use of anticoagulant drugs, immunocompromised status, and first attack of sigmoid diverticulitis were independent risk factors for emergency surgery. The likelihood of emergency surgery was significantly more frequent after national guidelines, which were implemented in 2017, only in patients with a history of sigmoid diverticulitis attacks. The present study highlights a high rate (33%) of emergency surgery for sigmoid diverticulitis in France, which was significantly associated with patient features and the first attack of diverticulitis.

Indicateurs

1 Consultations de la notice

Détails

Titre: Risk factors for emergency surgery for diverticulitis: A retrospective multicentric French study at 41 hospitals
Créateurs - sans rôle: Camille Godet - Department of Digestive Surgery, University Hospital of Caen, France. Electronic address: camillegodet1@hotmail.fr
Charles Sabbagh - Department of Digestive Surgery, Amiens University Hospital, France
Laura Beyer-Berjot - Department of Digestive Surgery Assistance Publique Hôpitaux de Marseille, North University Hospital, France
Mehdi Ouaissi - Department of Digestive, Oncological, Endocrine, Hepatobiliary, and Liver Transplant, Trousseau Hospital, University Hospital of Tours, France
Philippe Zerbib - Université Lille Nord de France
Bridoux Valérie - Department of Digestive Surgery, University Hospital of Rouen, France
Gilles Manceau - Department of Digestive and Oncological Surgery, European Georges Pompidou Hospital, Paris Cité University, AP-HP, Paris, France
Yves Panis - Colorectal surgery Center, Groupe Hospitalier Privé Ambroise-Paré Hartmann, Neuilly/Seine, France
Etienne Buscail - Department of Surgery, CHU Toulouse-Rangueil and Toulouse University, Toulouse, France
Aurélien Venara - Department of Digestive Surgery, University Hospital of Angers, Angers, France
Iman Khaoudy - Department of Digestive Surgery, Le Havre Hospital, Le Havre, France
Martin Gaillard - Department of Digestive Surgery, Cochin Hospital, Paris, France
Manon Viennet - Department of General Surgery, University Hospital of Bocage, Dijon, France
Alexandre Thobie - Department of Digestive Surgery, Avranches-Granville Hospital, Avranches, France
Benjamin Menahem - Departmement of Digestive Surgery, Flers Hospital, France
Clarisse Eveno - Department of Digestive Surgery, University Hospital of Lille, France
Catherine Bonnel - Department of Digestive Surgery, Nord-Essonne Hospital, Longjumeau, France
Jean-Yves Mabrut - Department of Digestive Surgery and Transplantation, Croix Rousse University Hospital, Lyon, France
Bogdan Badic - Department of General and Digestive Surgery, University Hospital, Brest, France
Julien Chautard - Department of Digestive Surgery, Memorial Hospital of Saint-Lô, France
Yassine Eid - 21 Department of Digestive Surgery, Robert Bisson Hospital, Lisieux, France
Emilie Duchalais - 22 Department of Oncological, Digestive and Endocrine Surgery, University Hospital of Nantes, France
Zaher Lakkis - Department of Digestive Surgical Oncology and Liver Transplantation, University Hospital of Besançon, France
Eddy Cotte - Department of Digestive Surgery, Hospital Lyon Sud, France
Anaïs Laforest - Department of Digestive Surgery, Montsouris Institut, Paris, France
Véronique Desfourneaux-Denis - Department of Digestive Surgery, CHU Rennes, France
Léon Maggiori - Hôpital Saint-Louis
Lionel Rebibo - Department of Digestive, Oesogastric and Bariatric Surgery, Hôpital Bichat-Claude-Bernard, Paris, France
Christou Niki - Department of Digestive Surgery, Limoges Hospital, France
Ali Talal - Department of Digestive Surgery, Argentan Hospital, France
Diane Mege - Department of Digestive Surgery, Aix Marseille Univ, APHM, Timone University Hospital, Marseille, France
Cécile Bonnamy - Department of Digestive Surgery, Bayeux Hospital, France
Adeline Germain - Department of Digestive Surgery, CHRU Nancy, France
François Mauvais - Department of Digestive Surgery, Beauvais Hospital, France
Christophe Tresallet - Department of Digestive Surgical Oncology, Avicenne University Hospital, Bobigny, Sorbonne Paris Nord University, France
Jean Roudie - Department of Digestive Surgery, Martinique Hospital, Fort-de-France, France
Alexis Laurent - Department of Digestive Surgery, Créteil Hospital, France
Bertrand Trilling
Martin Bertrand - Department of Digestive Surgery, University Hospital of Nîmes, France
Damien Massalou - Department of Digestive Surgery, Hospital L'Archet, Nice University, Nice, France
Benoit Romain - Department of General and Digestive Surgery, Hautepierre Hospital, Strasbourg University Hospital, France
Hadrien Tranchart - Department of Minimally Invasive Digestive Surgery, Antoine Beclere Hospital, AP-HP, Clamart, France
Alexandra Pellegrin - Department of Digestive Surgery, Amiens University Hospital, France
Olivier Dejardin
Arnaud Alves
French Surgical Association
Détails de publication: Surgery, Vol.175(6), pp.1508-1517
Identifiants: 99155147009311
Unité académique: Initial MAnagement & prevent of acute orGan failures IN critically ill patiEnts - IMAGINE
Langue: English
Type de ressource: Journal article