Predicting In-Hospital Death in Patients with Bowel Obstruction Using the Revised Cardiac Risk Index and...

Area of Science:

• Medicine
• Cardiology
• Gastroenterology

Background:

• Bowel obstruction poses significant short-term risks, including mortality and prolonged hospitalization.
• The influence of cardiovascular disease (CVD) on bowel obstruction prognosis remains incompletely understood.

Purpose of the Study:

• To investigate the association between cardiovascular disease and short-term prognosis in patients with bowel obstruction.
• To identify specific cardiovascular conditions and risk factors that predict mortality and hospitalization duration.

Main Methods:

• Retrospective cohort study of 186 patients undergoing surgical treatment for bowel obstruction.
• Data collected between January 2019 and December 2022.
• Analysis included assessment of CVD diagnoses and the Revised Cardiac Risk Index (RCRI).

Main Results:

• The number of CVD diagnoses and RCRI score were independent predictors of in-hospital mortality.
• Heart failure emerged as the sole individual CVD diagnosis predicting in-hospital death.
• Higher comorbidity burden and RCRI scores correlated with increased mortality risk.

Conclusions:

• Cardiovascular disease history is a significant factor influencing in-hospital mortality in bowel obstruction patients.
• Elevated cardiovascular comorbidity and RCRI scores are associated with poorer outcomes.
• Identifying and managing CVD risk is crucial for improving prognosis in this patient population.