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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Safety and efficacy of intraperitoneal drain placement after emergency colorectal surgery: An international, prospective cohort study
Colorectal Disease, Volume 25, No. 10, Year 2023
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Description
Aim: Intraperitoneal drains are often placed during emergency colorectal surgery. However, there is a lack of evidence supporting their use. This study aimed to describe the efficacy and safety of intraperitoneal drain placement after emergency colorectal surgery. Method: COMPlicAted intra-abdominal collectionS after colorectal Surgery (COMPASS) is a prospective, international, cohort study into which consecutive adult patients undergoing emergency colorectal surgery were enrolled (from 3 February 2020 to 8 March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included rate and time-to-diagnosis of postoperative intraperitoneal collections, rate of surgical site infections (SSIs), time to discharge and 30-day major postoperative complications (Clavien–Dindo III–V). Multivariable logistic and Cox proportional hazards regressions were used to estimate the independent association of the outcomes with drain placement. Results: Some 725 patients (median age 68.0 years; 349 [48.1%] women) from 22 countries were included. The drain insertion rate was 53.7% (389 patients). Following multivariable adjustment, drains were not significantly associated with reduced rates (odds ratio [OR] = 1.56, 95% CI: 0.48–5.02, p = 0.457) or earlier detection (hazard ratio [HR] = 1.07, 95% CI: 0.61–1.90, p = 0.805) of collections. Drains were not significantly associated with worse major postoperative complications (OR = 1.26, 95% CI: 0.67–2.36, p = 0.478), delayed hospital discharge (HR = 1.11, 95% CI: 0.91–1.36, p = 0.303) or increased risk of SSIs (OR = 1.61, 95% CI: 0.87–2.99, p = 0.128). Conclusion: This is the first study investigating placement of intraperitoneal drains following emergency colorectal surgery. The safety and clinical benefit of drains remain uncertain. Equipoise exists for randomized trials to define the safety and efficacy of drains in emergency colorectal surgery. © 2023 Association of Coloproctology of Great Britain and Ireland.
Authors & Co-Authors
Sgro, Alessandro
Unknown Affiliation
Blanco-Colino, R.
Unknown Affiliation
Ahmed, Waheed Ul Rahman
Unknown Affiliation
Gujjuri, Rohan R.
Unknown Affiliation
Lapolla, Pierfrancesco
Unknown Affiliation
Soares, Antonio Sampaio
Unknown Affiliation
Varghese, Chris
Unknown Affiliation
McLean, Kenneth A.
Unknown Affiliation
Chapman, Stephen J.
Unknown Affiliation
Glasbey, James C.
Unknown Affiliation
Nepogodiev, Dmitri
Unknown Affiliation
Pata, Francesco
Unknown Affiliation
Dudi-Venkata, Nagendra N.
Unknown Affiliation
Ludbrook, Isabella
Unknown Affiliation
Raubenheimer, Kyle
Unknown Affiliation
Richards, Toby A.
Unknown Affiliation
Pockney, Peter G.
Unknown Affiliation
Delibegović, Samir
Unknown Affiliation
Riboni, Cristiana
Unknown Affiliation
Poškus, Tomas
Unknown Affiliation
Wang, Jeffrey C.
Unknown Affiliation
Wells, Cameron I.
Unknown Affiliation
Espin-Basany, Eloy
Unknown Affiliation
van Straten, Stephanie
Unknown Affiliation
Baki, Bahadir Emre
Unknown Affiliation
Akhbari, Melika
Unknown Affiliation
Brown, Sarah R.
Unknown Affiliation
Cambridge, William A.
Unknown Affiliation
Kamarajah, Sivesh K.
Unknown Affiliation
Wong, James Y.
Unknown Affiliation
Pancharatnam, Rohan Andrew
Unknown Affiliation
Hassane, Ahmed Sayed I.
Unknown Affiliation
Saeed, Diyar
Unknown Affiliation
Alsaif, Abdulaziz Abdullah
Unknown Affiliation
Foster, Katharine A.
Unknown Affiliation
Alfadhel, Saud Ali Abdullah
Unknown Affiliation
Slavchev, M.
Unknown Affiliation
Gouvas, Nikolaos
Unknown Affiliation
Papakonstantinou, Dimitrios C.
Unknown Affiliation
Garoufalia, Zoe
Unknown Affiliation
Korkolis, Dimitrios P.
Unknown Affiliation
Poillucci, Gaetano
Unknown Affiliation
Perra, Teresa
Unknown Affiliation
Coletta, Diego
Unknown Affiliation
Belli, Andrea A.B.
Unknown Affiliation
Ferrara, Francesco
Unknown Affiliation
Pesce, Antonio
Unknown Affiliation
Canu, Gian Luigi
Unknown Affiliation
Sagnotta, Andrea
Unknown Affiliation
Carlei, Francesco
Unknown Affiliation
Lisi, Gabriele
Unknown Affiliation
Gallo, Gaetano
Unknown Affiliation
Litvin, Andrey
Unknown Affiliation
Panyko, Arpád
Unknown Affiliation
Talal El-Abur, Issa
Unknown Affiliation
Özmen, Batuhan B.
Unknown Affiliation
Tepe, Mustafa Deniz
Unknown Affiliation
Yildirim, Asif (Asıf)
Unknown Affiliation
Sadik, Hatem Azet
Unknown Affiliation
Gala, Tanzeela
Unknown Affiliation
Elsamani, Kareemaldin
Unknown Affiliation
Belev, Nikolay
Unknown Affiliation
Theodorou, Dimitrios A.
Unknown Affiliation
Balalis, Dimitrios
Unknown Affiliation
Porcu, Alberto
Unknown Affiliation
Delrio, Paolo
Unknown Affiliation
Restini, Enrico
Unknown Affiliation
Pirozzolo, Giovanni
Unknown Affiliation
Tamini, Nicolò
Unknown Affiliation
Galleano, R.
Unknown Affiliation
Borghi, Felice
Unknown Affiliation
Petrucciani, Niccoló
Unknown Affiliation
Hüscher, Cristiano Germano Sigismondo
Unknown Affiliation
Tonini, Valeria
Unknown Affiliation
Medas, Fabio
Unknown Affiliation
Podda, Mauro Guido
Unknown Affiliation
Bianco, Francesco Maria
Unknown Affiliation
Selvaggi, Francesco Paolo
Unknown Affiliation
Karamarković, Aleksandar R.
Unknown Affiliation
Altinel, Yuksel
Unknown Affiliation
Guner, Ali
Unknown Affiliation
Smolarek, Sebastian K.
Unknown Affiliation
Shaikh, Irshad Ahammed A.
Unknown Affiliation
Moug, Susan Joan
Unknown Affiliation
Smart, Neil J.
Unknown Affiliation
Parmar, Chetan D.
Unknown Affiliation
Duff, Sarah Elizabeth
Unknown Affiliation
Hargest, Rachel
Unknown Affiliation
Daudu, Davina
Unknown Affiliation
Mansour, Laure Taher
Unknown Affiliation
Seow, Warren
Unknown Affiliation
Karamanliev, Martin P.
Unknown Affiliation
MacHairas, Nikolaos A.
Unknown Affiliation
Kimpizi, Athina Despoina
Unknown Affiliation
Charalabopoulos, Alexandros
Unknown Affiliation
Schizas, Dimitrios N.
Unknown Affiliation
Romano, Patrick S.
Unknown Affiliation
Ferrario, Luca
Unknown Affiliation
Mingoli, Andrea
Unknown Affiliation
Brachini, Gioia
Unknown Affiliation
Rossi, S.
Unknown Affiliation
Grossi, Ugo
Unknown Affiliation
Zazza, Settimio
Unknown Affiliation
Cianci, Pasquale
Unknown Affiliation
Capuzzolo, Sabino
Unknown Affiliation
Doria, Emanuele
Unknown Affiliation
Borrello, Alessandro
Unknown Affiliation
Cocorullo, Gianfranco F.
Unknown Affiliation
Pisanu, Adolfo
Unknown Affiliation
Delogu, Daniele
Unknown Affiliation
Cappellacci, Federico
Unknown Affiliation
Cillara, Nicola
Unknown Affiliation
Picardi, Biagio
Unknown Affiliation
Pellino, Gianluca
Unknown Affiliation
Tanis, Pieter Job
Unknown Affiliation
Boyle, Emily M.
Unknown Affiliation
Gimenez-Maurel, Teresa
Unknown Affiliation
Buchwald, Pamela L.
Unknown Affiliation
Isik, Arda A.
Unknown Affiliation
Demirbas, Iskender Eren
Unknown Affiliation
Williams, Colin Y.
Unknown Affiliation
Elias, Sjoerd Geert
Unknown Affiliation
Thomas, Tina
Unknown Affiliation
Hadley, Elizabeth
Unknown Affiliation
Kamdar, Mihir M.
Unknown Affiliation
Chan, Shannon Melissa
Unknown Affiliation
Sethi, Rajiv K.
Unknown Affiliation
Carmichael, A. R.
Unknown Affiliation
White, Christopher J.M.D.
Unknown Affiliation
Hunter, James M.
Unknown Affiliation
Vaselli, Natasha Marcella
Unknown Affiliation
Ashaye, Adeyinka Olusola
Unknown Affiliation
Phillips, Nicholas M.
Unknown Affiliation
Olivier, James B.
Unknown Affiliation
Willis, Louise
Unknown Affiliation
Adefolaju, Gbenga Anthony
Unknown Affiliation
Vo, Uyen Giao
Unknown Affiliation
Tonchev, Pencho
Unknown Affiliation
Statistics
Authors: 138
Identifiers
Doi:
10.1111/codi.16737
ISSN:
14628910
Research Areas
Environmental
Health System And Policy
Study Design
Cohort Study
Case-Control Study
Study Approach
Quantitative
Participants Gender
Female