Table 3.
Characteristics of patients with small bowel volvulus presenting emergently or electively.*
| Emergent | Elective | P-value | |
|---|---|---|---|
| Total Patients | 16,322 (78.90%) | 1,968 (9.50%) | |
| Age, mean (sd), years | 66.2 (19.5) | 64.0 (18.5) | <0.0001 |
| Sex | 0.178 | ||
| Female | 9,233 (56.57%) | 1,144 (58.16%) | |
| Male | 7,089 (43.43%) | 823 (41.84%) | |
| Race | <0.0001 | ||
| White | 9,482 (76.30%) | 1,135 (80.96%) | |
| Black | 1,890 (15.21%) | 143 (10.20%) | |
| Hispanic | 625 (5.03%) | 60 (4.28%) | |
| Asian or Pacific Islander | 125 (1.01%) | 21 (1.50%) | |
| Indian/Other | 305 (2.45%) | 43 (3.06%) | |
| Insurance | <0.0001 | ||
| Medicare | 9,803 (60.18%) | 1,079 (55.05%) | |
| Medicaid | 920 (5.65%) | 111 (5.66%) | |
| Private | 4,528 (27.80%) | 672 (34.29%) | |
| Self-pay | 636 (3.90%) | 49 (2.50%) | |
| No charge | 61 (0.37%) | 4 (0.20%) | |
| Other | 341 (2.09%) | 45 (2.30%) | |
| Charlson Comorbidity Index | 0.542 | ||
| 0 | 8,380 (51.34%) | 1,021 (51.88%) | |
| 1-2 | 5,420 (33.21%) | 617 (31.35%) | |
| ≥3 | 2,522 (15.45%) | 330 (16.77%) | |
| Hospital Type | |||
| Teaching | 6,751 (41.53%) | 740 (37.74%) | 0.001 |
| Rural | 2,937 (18.07%) | 460 (23.37%) | <0.0001 |
| Urban | 13,319 (81.93%) | 1,508 (76.63%) | <0.0001 |
| Management | |||
| Non-operative | 5,486 (33.61%) | 819 (12.99%) | <0.0001 |
| Operative | 10,836 (66.39%) | 1,149 (58.38%) | <0.0001 |
| Adhesiolysis | 5,338 (32.70%) | 632 (32.11%) | 0.598 |
| Small bowel resection | 4,048 (24.80%) | 344 (17.48%) | <0.0001 |
| Manipulation | 2,256 (13.82%) | 246 (12.50%) | 0.107 |
| Dilation | 2,046 (12.54%) | 140 (7.11%) | <0.0001 |
| Small bowel surgery | 1,607 (9.85%) | 193 (9.81%) | 0.957 |
| Destruction of peritoneal tissue | 638 (3.91%) | 137 (6.96%) | <0.0001 |
| Laparoscopic | 646 (3.96%) | 115 (5.84%) | <0.0001 |
| Exploratory laparotomy | 444 (2.72%) | 46 (2.34%) | 0.320 |
| Ladds | 56 (0.34%) | 11 (0.56%) | 0.134 |
| Small bowel pexy | 46 (0.28%) | 14 (0.71%) | 0.002 |
| Presentations of acute abdomen | |||
| Acute vascular insufficiency | 2,856 (17.50%) | 219 (11.13%) | <0.0001 |
| Peritonitis | 479 (2.93%) | 74 (3.76%) | 0.043 |
| Coagulopathy | 200 (1.23%) | 24 (1.22%) | 0.982 |
| Malrotation | 131 (0.80%) | 15 (0.76%) | 0.849 |
| Pneumoperitoneum | 61 (0.37%) | 15 (0.76%) | 0.011 |
| Mortality | |||
| In-hospital mortality | 1,308 (8.02%) | 107 (5.44%) | <0.0001 |
| Admission to death time, mean (sd), days | 7.8 (11.4) | 10.2 (13.7) | 0.0436 |
*
Percentages are based upon the denominator of available data.