Highlights
- •Functional dependence (FD) is associated with poor postoperative outcomes.
- •FD status is an independent risk factor for post-colectomy complications and death.
- •Patient FD status should be considered when planning colectomy for diverticulitis.
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.
Keywords
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Article info
Publication history
Published online: June 21, 2022
Accepted:
June 18,
2022
Received in revised form:
May 23,
2022
Received:
December 13,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
