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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 23 - 28 (6page)
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Purpose: The aim of this study is to determine the predictable factors that affect the clinical course, especially the hospital stay, the operation performed, and to determine factors that will be helpful in deciding whether in-hospital or outpatient treatment is appropriate. Methods: We retrospectively collected medical data for patients who had been diagnosed with acute diverticulitis at Inje University Sanggye Paik Hospital between January and December 2016. In total, 117 patients were enrolled in this study. We examined clinical factors, including age, sex, body mass index, pain, body temperature, white blood cell count, C-reactive protein, nil per os (NPO) time, hospital duration, computed tomography (CT) findings, location of diverticulitis, operation performed, and presence of comorbidity (e.g., hypertension and diabetes mellitus). Results: In the multivariate analysis, the statistically significant factor related with hospital duration was the presence of perforation on the CT scan (P < 0.001). Longer NPO time was related with pain score (>7) (P = 0.011). Operations were mainly performed in patients with left-sided colonic diverticulitis (P = 0.012). Conclusion: We suggest a perforation finding on the CT scan, a severe pain score at least above 7 on a numeric rating pain scale, and a left-sided lesion are absolute indications for in-hospital management.
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참고문헌 (20)
참고문헌 신청
Lopez DE / 2010 / Diverticulitis: the most common colon emergency for the acute care surgeon / Scand J Surg 99:86~89
Jamal Talabani A / 2014 / Major increase in admission- and incidence rates of acute colonic diverticulitis / Int J Colorectal Dis 29:937~945
Etzioni DA / 2009 / Diverticulitis in the United States: 1998-2005: changing patterns of disease and treatment / Ann Surg 249:210~217
Andersen JC / 2012 / Danish national guidelines for treatment of diverticular disease / Dan Med J 59:C4453
Sun Young Kim / 2012 / The Clinical Factors for Predicting Severe Diverticulitis in Korea: A Comparison with Western Countries / Gut and Liver 6(1):78~85
Jamal Talabani A / 2014 / Major increase in admission- and incidence rates of acute colonic diverticulitis / Int J Colorectal Dis 29:937~945
Etzioni DA / 2009 / Diverticulitis in the United States: 1998-2005: changing patterns of disease and treatment / Ann Surg 249:210~217
Andersen JC / 2012 / Danish national guidelines for treatment of diverticular disease / Dan Med J 59:C4453
Sun Young Kim / 2012 / The Clinical Factors for Predicting Severe Diverticulitis in Korea: A Comparison with Western Countries / Gut and Liver 6(1):78~85
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