Abstract：
BACKGROUND: Functional dependence (FD) is associated with poor postoperative outcomes. We investigated the influence of FD on the postoperative outcomes of colectomy.
METHODS: The 2012-2020 National Surgical Quality Improvement Program was queried for patients who had undergone colectomy for diverticulitis. The patients were analyzed based on FD or functionally independent (FI) status.
RESULTS: Of the 62,409 patients 991 (1.6%) were FD. Compared to FI patients, those with FD were older (mean age, 72.7 vs. 59.1 years, p < 0.001), with higher comorbidities and more unplanned open procedures (79.7% vs. 38.0%, p < 0.001). After adjusting for American Society of Anesthesia status, age, and comorbidities, the FD patients were 1.12 times (95% CI:1.07-1.17) more likely to have postoperative morbidity and 1.53 times (95% CI: 1.2-1.82) more likely to have 30-day mortality.
CONCLUSIONS: Dependent functional status is an independent risk factor for complications after surgery for diverticulitis.
METHODS: The 2012-2020 National Surgical Quality Improvement Program was queried for patients who had undergone colectomy for diverticulitis. The patients were analyzed based on FD or functionally independent (FI) status.
RESULTS: Of the 62,409 patients 991 (1.6%) were FD. Compared to FI patients, those with FD were older (mean age, 72.7 vs. 59.1 years, p < 0.001), with higher comorbidities and more unplanned open procedures (79.7% vs. 38.0%, p < 0.001). After adjusting for American Society of Anesthesia status, age, and comorbidities, the FD patients were 1.12 times (95% CI:1.07-1.17) more likely to have postoperative morbidity and 1.53 times (95% CI: 1.2-1.82) more likely to have 30-day mortality.
CONCLUSIONS: Dependent functional status is an independent risk factor for complications after surgery for diverticulitis.
摘要：
背景：功能依赖（FD）与术后不良结局相关。我们调查了FD对结肠切除术后结局的影响。
方法：对2012-2020年国家外科质量改进计划中接受结肠憩室炎切除术的患者进行了查询。根据FD或功能独立（FI）状态对患者进行分析。
结果：在62,409例患者中，991例（1.6％）为FD。与FI患者相比，患有FD的人年龄较大(平均年龄，72.7vs.59.1年,p<0.001)，具有更高的合并症和更多的计划外开放程序(79.7%与38.0%,p<0.001)。在调整了美国麻醉协会的地位后，年龄,和合并症，FD患者术后发病率增加1.12倍(95%CI:1.07~1.17),30日死亡率增加1.53倍(95%CI:1.2~1.82).
结论：依赖性功能状态是憩室炎术后并发症的独立危险因素。
方法：对2012-2020年国家外科质量改进计划中接受结肠憩室炎切除术的患者进行了查询。根据FD或功能独立（FI）状态对患者进行分析。
结果：在62,409例患者中，991例（1.6％）为FD。与FI患者相比，患有FD的人年龄较大(平均年龄，72.7vs.59.1年,p<0.001)，具有更高的合并症和更多的计划外开放程序(79.7%与38.0%,p<0.001)。在调整了美国麻醉协会的地位后，年龄,和合并症，FD患者术后发病率增加1.12倍(95%CI:1.07~1.17),30日死亡率增加1.53倍(95%CI:1.2~1.82).
结论：依赖性功能状态是憩室炎术后并发症的独立危险因素。
