Use this url to cite publication: https://hdl.handle.net/20.500.14172/24456
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Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery / EuroSurg Collaborative
Type of publication
Straipsnis Web of Science ir Scopus duomenų bazėje / Article in Web of Science and Scopus database (S1)
Type of document
type::text::journal::journal article::research article
Author(s)
Chapman, S.J. | University of Leeds | GB |
Title
Safety and efficacy of non-steroidal anti-inflammatory drugs to reduce ileus after colorectal surgery / EuroSurg Collaborative
Other(s)
Tyrimo grupės narys / Research team member | Klaipėdos universitetinė ligoninė | LT | |||
Tyrimo grupės narys / Research team member | LT | Klaipėdos universitetinė ligoninė | LT | ||
Nutautienė, Vitalija | Tyrimo grupės narys / Research team member | Klaipėdos universitetinė ligoninė | LT | ||
Žeromskas, Paulius | Tyrimo grupės narys / Research team member | Klaipėdos universitetinė ligoninė | LT | ||
Tyrimo grupės narys / Research team member | Klaipėdos universitetinė ligoninė | LT | |||
Aliošin, Oleg | Tyrimo grupės narys / Research team member | Klaipėdos universitetinė ligoninė | LT | ||
Slepavičius, Algirdas | Tyrimo grupės narys / Research team member | Klaipėdos universitetinė ligoninė | LT | ||
Tyrimo grupės narys / Research team member | Klaipėdos universitetinė ligoninė | LT | |||
Kybransienė, Miglė | Tyrimo grupės narys / Research team member | Klaipėdos universitetinė ligoninė | LT | ||
Dulskas, Audrius | Tyrimo grupės narys / Research team member | Nacionalinis vėžio institutas | LT | ||
Kuliavas, Justas | Tyrimo grupės narys / Research team member | Nacionalinis vėžio institutas | LT | ||
Kavaliauskas, Povilas | Tyrimo grupės narys / Research team member | Nacionalinis vėžio institutas | LT | ||
Kavaliauskaitė, R. | Tyrimo grupės narys / Research team member | Nacionalinis vėžio institutas | LT | ||
Poškus, Eligijus | Tyrimo grupės narys / Research team member | Vilniaus universitetas | LT | ||
Danys, Donatas | Tyrimo grupės narys / Research team member | Vilniaus universitetas | LT | ||
Kryžauskas, Marius | Tyrimo grupės narys / Research team member | Vilniaus universitetas | LT | ||
Mikalauskas, Saulius | Tyrimo grupės narys / Research team member | Vilniaus universitetas | LT | ||
Račkauskas, Rokas | Tyrimo grupės narys / Research team member | Vilniaus universitetas | LT | ||
Drungilas, Mantas | Tyrimo grupės narys / Research team member | Vilniaus universitetas | LT | ||
Poškus, Tomas | Tyrimo grupės narys / Research team member | Vilniaus universitetas | LT | ||
Jotautas, Valdemaras | Tyrimo grupės narys / Research team member | Vilniaus universitetas | LT | ||
Strupas, Kęstutis | Tyrimo grupės narys / Research team member | Vilniaus universitetas | LT |
Publisher
Hoboken : Wiley
Date Issued
Date Issued | Volume | Issue | Start Page | End Page |
---|---|---|---|---|
2020-01-31 | vol. 107 | no. 2 | 161 | 169 |
Is part of
British journal of surgery
Field of Science
Keywords
Abstract
Background: Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus after surgery. Methods: A prospective multicentre cohort study was delivered by an international, student- and trainee-led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a centre-specific survey of compliance to enhanced recovery principles. Secondary safety outcomes included anastomotic leak rate and acute kidney injury. Results: A total of 4164 patients were included, with a median age of 68 (i.q.r. 57-75) years (54·9 per cent men). Some 1153 (27·7 per cent) received NSAIDs on postoperative days 1-3, of whom 1061 (92·0 per cent) received non-selective cyclo-oxygenase inhibitors. After adjustment for baseline differences, the mean time to gastrointestinal recovery did not differ significantly between patients who received NSAIDs and those who did not (4·6 versus 4·8 days; hazard ratio 1·04, 95 per cent c.i. 0·96 to 1·12; P = 0·360). There were no significant differences in anastomotic leak rate (5·4 versus 4·6 per cent; P = 0·349) or acute kidney injury (14·3 versus 13·8 per cent; P = 0·666) between the groups. Significantly fewer patients receiving NSAIDs required strong opioid analgesia (35·3 versus 56·7 per cent; P < 0·001). Conclusion: NSAIDs did not reduce the time for gastrointestinal recovery after colorectal surgery, but they were safe and associated with reduced postoperative opioid requirement.
Is Referenced by
ISSN (of the container)
0007-1323
1365-2168
WOS
000489168500001
Scopus
2-s2.0-85074007819
PubMED
31595986
eLABa
83075505
Coverage Spatial
Jungtinės Amerikos Valstijos / United States of America (US)
Language
Anglų / English (en)
Bibliographic Details
26
Date Reporting
2020
Journal | IF | AIF | AIF (min) | AIF (max) | Cat | AV | Year | Quartile |
---|---|---|---|---|---|---|---|---|
BRITISH JOURNAL OF SURGERY | 6.939 | 3.143 | 3.143 | 3.143 | 1 | 2.208 | 2020 | Q1 |
Journal | IF | AIF | AIF (min) | AIF (max) | Cat | AV | Year | Quartile |
---|---|---|---|---|---|---|---|---|
BRITISH JOURNAL OF SURGERY | 6.939 | 3.143 | 3.143 | 3.143 | 1 | 2.208 | 2020 | Q1 |
Journal | Cite Score | SNIP | SJR | Year | Quartile |
---|---|---|---|---|---|
British Journal of Surgery | 9.6 | 2.44 | 2.202 | 2020 | Q1 |