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. 2024 Apr 16;19:14. doi: 10.1186/s13017-024-00543-w
Variable HP group (n = 304) RPA group (n = 168) P value
Age—mean ± SD 69.1 ± 14.7 60.0 ± 13.2 < 0.001
Female sex—N. (%) 156 (51.3%) 77 (45.8%) 0.255
ASA—N. (%) < 0.001
1 29 (9.5%) 25(14.1%)
2 77 (25.4%) 78 (46.4%)
3 140 (46.2%) 61 (36.3%)
4 50 (16.5%) 4 (2.3%)
5 7 (2.3%) 0 (0.0%)
qSOFA score ≥ 2- N. (%) 39 (12.8%) 8 (4.7%) 0.005
Clinical presentation
Large bowel perforation 280 (92.7%) 146 (88.4%) 0.123
Large bowel obstruction 29 (9.6%) 24 (14.3%) 0.125
Colonic Ischemia 14 (4.6%) 1 (0.5%) 0.017
Abdominal approach
Laparoscopy 42 (13.8%) 78 (46.4%) < 0.001
Laparotomy 260 (85.8%) 87 (51.7%)
Time from hospital admission to surgery 0.013
Within 12 h 187 (61.5%) 67 (39.8%)
After 12 h 117 (38.4%) 101 (60.1%)
Time of surgery
Weekend 83 (27.3%) 20 (11.9%) < 0.001
Early night: 8 pm–11 pm 70 (23.0%) 28 (16.7%) < 0.001
Late night: 11 pm–7am 81 (26.6%) 17 (10.1%)
Surgeon’s experience
> 50 colorectal resections 211 (69.4%) 134 (79.7%) 0.015
Center annual volume of emergency surgical procedures
> 1000 86 (28.7%) 51 (30.5%) 0.864
Center annual volume of elective colorectal resections
> 100 154 (51.5%) 101 (60.4%) 0.275
Postoperative outcomes
LOS—mean ± SD 14.0 ± 11.6 12.3 ± 9.2 0.108
Complications 155 (52.3%) 66 (40.0%) 0.011
Clavien-Dindo ≥ 3b 66 (21.7%) 25 (14.8%) 0.007
30-day mortality 34 (11.9%) 3 (1.9%) < 0.001
1-year follow-up
Permanent stoma 131 (51.9%) 6 (14.2%) < 0.001
Surgery for ostomy reversal 69 (29.3%) 30 (71.4%) < 0.001
Complication during reversal surgery 12 (17.3%) 2 (6.6%) 0.027