{Reference Type}: Journal Article
{Title}: Dependent functional status is a risk factor for complications after surgery for diverticulitis coli.
{Author}: Gillis A;Webber A;Ata A;Stain S;Tafen M;
{Journal}: Am J Surg
{Volume}: 0
{Issue}: 0
{Year}: Jun 2022 22
{Factor}: 3.125
{DOI}: 10.1016/j.amjsurg.2022.06.010
{Abstract}: <B>BACKGROUND: </B>Functional dependence (FD) is associated with poor postoperative outcomes. We investigated the influence of FD on the postoperative outcomes of colectomy.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>Dependent functional status is an independent risk factor for complications after surgery for diverticulitis.