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Accès ouvert déclaré 2014 article

Impact of postoperative non-steroidal anti-inflammatory drugs on adverse events after gastrointestinal surgery

94Citations signalées — pas une note de qualité
134Institutions déclarées
4Pays d’affiliation déclarés

Résumé fourni par la source

BACKGROUND: Recent evidence has suggested an association between postoperative non-steroidal anti-inflammatory drugs (NSAIDs) and increased operation-specific complications. This study aimed to determine the safety profile following gastrointestinal surgery across a multicentre setting in the UK. METHODS: This multicentre study was carried out during a 2-week interval in September-October 2013. Consecutive adults undergoing elective or emergency gastrointestinal resection were included. The study was powered to detect a 10 per cent increase in major complications (grade III-V according to the Dindo-Clavien classification). The effect of administration of NSAIDs on the day of surgery or the following 2 days was risk-adjusted using propensity score matching and multivariable logistic regression to produce adjusted odds ratios (ORs). The type of NSAID and the dose were registered. RESULTS: Across 109 centres, early postoperative NSAIDs were administered to 242 (16·1 per cent) of 1503 patients. Complications occurred in 981 patients (65·3 per cent), which were major in 257 (17·1 per cent) and minor (Dindo-Clavien grade I-II) in 724 (48·2 per cent). Propensity score matching created well balanced groups. Treatment with NSAIDs was associated with a reduction in overall complications (OR 0·72, 95 per cent confidence interval 0·52 to 0·99; P = 0·041). This effect predominantly comprised a reduction in minor complications with high-dose NSAIDs (OR 0·57, 0·39 to 0·89; P = 0·009). CONCLUSION: Early use of NSAIDs is associated with a reduction in postoperative adverse events following major gastrointestinal surgery.

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Contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Impact of postoperative non-steroidal anti-inflammatory drugs on adverse events after gastrointestinal surgery
Date Crossref
04/08/2014
Éditeur
Oxford University Press (OUP)
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.

Institutions déclarées

University of LeedsSt James's University HospitalKeele UniversityUniversity of LiverpoolNorfolk and Norwich University HospitalImperial College LondonUniversity of AberdeenUniversity of BristolUniversity College LondonQueen Elizabeth Hospital BirminghamEdinburgh Royal InfirmaryUniversity of EdinburghEaling HospitalUniversity of WarwickSt Thomas' HospitalSt. Mark's HospitalHeartlands HospitalUniversity of BirminghamSt George's, University of LondonSt George's HospitalBradford Royal InfirmaryNinewells HospitalUniversity of DundeeRoyal Cornwall HospitalPeninsula College of Medicine and DentistryGlasgow Royal InfirmaryUniversity of GlasgowYork HospitalHull York Medical SchoolUniversity of ManchesterQueen's Medical CentreUniversity of NottinghamQueen's University BelfastUniversity of UlsterRoyal Victoria HospitalAntrim Area HospitalUniversity of SheffieldUniversity of SouthamptonAberdeen Royal InfirmaryAddenbrooke's HospitalAintree University HospitalAlexandra HospitalAltnagelvin Area HospitalBarnsley HospitalBelfast City HospitalBlackpool Victoria HospitalBristol Royal InfirmaryCastle Hill HospitalCharing Cross HospitalChelsea and Westminster HospitalManchester Royal InfirmaryChurchill HospitalConquest HospitalCountess of Chester HospitalCoventry (United Kingdom)Craigavon Area HospitalCroydon University HospitalDiana Princess of Wales HospitalDoncaster Royal InfirmaryEpsom HospitalValley HospitalValley Hospital Medical CenterForth Valley Royal HospitalGartnavel General HospitalGeorge Eliot HospitalGloucestershire Royal HospitalGood Hope HospitalGreat Western HospitalHillingdon HospitalHull Royal InfirmaryIpswich HospitalJames Paget University HospitalJohn Radcliffe HospitalKing's College HospitalKings Mill HospitalLincoln County HospitalLister HospitalPrince Charles HospitalMorriston HospitalBarts Health NHS TrustNewham University HospitalNorth Bristol NHS TrustNorthern General HospitalSouthampton General HospitalNottingham City HospitalNorth Manchester General HospitalPlymouth HospitalUniversity Hospitals Plymouth NHS TrustRoyal Preston HospitalQueen Alexandra HospitalQueen Elizabeth Hospital King's Lynn NHS Foundation TrustQueen Elizabeth HospitalQueen's HospitalPrincess of Wales HospitalRaigmore HospitalRoyal Bournemouth HospitalRoyal Derby HospitalThe Royal Free HospitalRoyal Glamorgan HospitalRoyal Gwent HospitalRoyal Lancaster InfirmaryRoyal Liverpool and Broadgreen University Hospital NHS TrustRoyal London HospitalRoyal Sussex County HospitalUniversity Hospitals Sussex NHS Foundation TrustRussells Hall HospitalSalford Royal HospitalSandwell General HospitalScarborough General HospitalScunthorpe General HospitalSouthend University Hospital NHS Foundation TrustSouthern General HospitalSouthport and Ormskirk Hospital NHS TrustSt Helier HospitalSt Mary's HospitalRoyal Stoke University HospitalUniversity Hospital of WalesWalsall Manor HospitalWarrington HospitalWarwick HospitalWest Middlesex University HospitalWestern General HospitalWestern InfirmaryWeston General HospitalWexham Park HospitalWhipps Cross University HospitalWirral University Teaching Hospital NHS Foundation TrustUlster HospitalYeovil District Hospital NHS Foundation TrustGlan Clwyd HospitalYsbyty Gwynedd Hospital NHS TrustLiverpool HospitalTransnational Press LondonGlasgow Life

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Sujets associés

Cancer, Stress, Anesthesia, and Immune ResponseEnhanced Recovery After SurgeryInflammatory mediators and NSAID effects

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