Table 5.
Characteristics of patients with small bowel volvulus and intestinal malrotation undergoing operative or non-operative management.*
| Operative management | Non-operative management | P-value | |
|---|---|---|---|
| Total Patients | 134 (79.29%) | 35 (20.71%) | |
| Age, mean (sd), years | 46.1 (19.9) | 56.0 (24.3) | 0.0136 |
| Sex | 0.114 | ||
| Female | 68 (50.75%) | 12 (34.29%) | |
| Male | 66 (49.25%) | 23 (65.71%) | |
| Race | 0.651 | ||
| White | 82 (75.23%) | 25 (86.21%) | |
| Black | 13 (11.93%) | 3 (10.34%) | |
| Hispanic | 9 (8.26%) | 1 (3.45%) | |
| Asian or Pacific Islander | 3 (2.75%) | 0 | |
| Indian/Other | 2 (1.83%) | 0 | |
| Insurance | 0.359 | ||
| Medicare | 31 (23.13%) | 14 (40.00%) | |
| Medicaid | 15 (11.19%) | 5 (14.29%) | |
| Private insurance | 71 (52.99%) | 12 (34.29%) | |
| Self-pay | 11 (8.21%) | 3 (8.57%) | |
| No charge | 1 (0.75%) | 0 | |
| Other | 5 (3.73%) | 1 (2.86%) | |
| Charlson Comorbidity Index | 0.479 | ||
| 0 | 98 (73.13%) | 22 (62.86%) | |
| 1-2 | 21 (15.67%) | 8 (22.86%) | |
| ≥3 | 15 (11.19%) | 5 (14.29%) | |
| Presentation | 0.587 | ||
| Emergent | 104 (90.43%) | 27 (87.10%) | |
| Elective | 11 (9.57%) | 4 (12.90%) | |
| Hospital Type | |||
| Teaching | 66 (49.25%) | 14 (40.00%) | 0.329 |
| Rural | 11 (8.21%) | 6 (17.14%) | 0.118 |
| Urban | 123 (91.79%) | 29 (82.86%) | 0.118 |
| Management | |||
| Adhesiolysis | 88 (65.67%) | ||
| Manipulation | 50 (37.31%) | ||
| Ladds | 32 (23.88%) | ||
| Small bowel resection | 26 (19.40%) | ||
| Small bowel surgery | 18 (13.43%) | ||
| Laparoscopic | 13 (9.70%) | ||
| Destruction of peritoneal tissue | 3 (2.24%) | ||
| Exploratory laparotomy | 3 (2.24%) | ||
| Dilation | 1 (0.75%) | ||
| Small bowel pexy | 1 (0.75%) | ||
| Presentations of acute abdomen | |||
| Acute vascular insufficiency | 21 (15.67%) | 1 (2.86%) | 0.045 |
| Peritonitis | 5 (3.73%) | 0 | 0.246 |
| Mortality | |||
| Inpatient deaths | 3 (2.24%) | 1 (2.86%) | 0.830 |
| Admission to death time, mean (sd), days | 0.67 (0.58) | 2 |
Percentages are based upon the denominator of available data.