Mortality after acute primary mesenteric infarction: a systematic review and meta‐analysis of observational studies
Abstract
Aim: The primary aim of this study was to determine whether the in‐hospital mortality for acute mesenteric infarction has reduced in the last decade. The secondary aim was to determine if there was a statistical difference in mortality between patients having acute primary mesenteric infarction due to different causes. Method: A literature search was performed of PubMed, Ovid (Embase) and Google Scholar databases. Studies on acute mesenteric infarction of primary vascular pathology were included for pooled analyses while studies that had reported comparative mortality between arterial, venous and non‐occlusive mesenteric infarction (NOMI) were included in meta‐analyses. Their quality was assessed using the National Institute for Health and Care Excellence assessment scale. Odds ratios (ORs) of mortality were calculated using a Mantel−Haenszel random effect model. Results: The total number of patients was 4527 and the male/female ratio was 1912/2247. The pooled in‐hospital mortality was 63%. There was no significant reduction of in‐hospital mortality rate in the last decade (P = 0.78). There was a significant difference in in‐hospital mortality between acute arterial mesenteric infarction (73.9%) compared with acute venous mesenteric infarction (41.7%) [OR 3.47, confidence interval (CI) 2.43−4.96, P < 0.001] and NOMI (68.5%) compared with acute venous mesenteric infarction (44.2%) (OR 3.2, CI 1.83−5.6, P < 0.001). There was no difference in mortality between acute arterial mesenteric infarction and NOMI (OR 1.08, CI 0.57−2.03, P = 0.82). Conclusion: In‐hospital mortality rate has not changed in the last decade. Patients with arterial mesenteric infarction or with NOMI are over three times more likely to die during the first hospital admission compared with those with venous mesenteric infarction.
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Mortality was higher in acute arterial mesenteric infarction (73.9%) and NOMI (68.5%) compared to acute mesenteric venous infarction (44.2%).
“Mortality was higher in acute arterial mesenteric infarction (73.9%) and NOMI (68.5% as compared to acute mesenteric venous infarction (44.2%)[122].”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [122]
Adaba et al. found in a meta-analysis of observational studies in patients with acute mesenteric infarction that the pooled in-hospital mortality was 63%.
“Adaba et al[122] did a meta-analysis of observational studies in patients with acute mesenteric infarction and found that the pooled in-hospital mortality was 63%.”
From Ischemic bowel disease in 2021. (2021) · cites this paper as [122]
The mortality data in the present review are in accordance with two earlier systematic reviews.
“The mortality data in the present review are, however, in accordance with two earlier systematic reviews.”
From Incidence and outcomes of acute mesenteric ischaemia: a systematic review and meta-analysis (2022) · cites this paper as [5]
A review of 54 studies from 1956 to 2012 found in-hospital mortality of approximately 60% in studies published from 2002 to 2012, and suggested a slight reduction in mortality over time.
“A review of 54 studies from 1956 to 2012 found in-hospital mortality of approximately 60% in the studies published from 2002 to 2012, and suggested a slight reduction in mortality over time.5”
From Incidence and outcomes of acute mesenteric ischaemia: a systematic review and meta-analysis (2022) · cites this paper as [5]
Adaba et al calculated a pooled mortality of 63% from 52 articles published from 1956 to 2012.
“and Adaba et al.5 63% from 52 articles published from 1956 to 2012.”
From Incidence and outcomes of acute mesenteric ischaemia: a systematic review and meta-analysis (2022) · cites this paper as [5]
The outcome of AMI has not drastically improved over the last decades despite the wide availability of CT-scanning and major developments in endovascular revascularisation techniques.
“The outcome of AMI has not drastically improved over the last decades [12] despite the wide availability of CTscanning and major developments in endovascular revascularisation techniques.”
From Management of acute mesenteric ischaemia: Results of a worldwide survey (2023) · cites this paper as [12]
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- Authors
- Adaba, F., Askari, A., Dastur, J., Patel, A., Gabe, S. M., Vaizey, C. J., Faiz, O., Nightingale, J. M. D., & Warusavitarne, J.
- Affiliations
- St Mark's Hospital (GB)
- Corresponding author
- Adaba, F.
- Venue
- Colorectal Disease
- Publisher
- Wiley
- Published
- 2015-06-22
- Volume
- 17
- Issue
- 7
- Pages
- 566-577
- ISSN
- 1462-8910 (ISSN-L)
- 1463-1318
- OpenAlex
- W2021307692
- Cited by
- 77
- References
- 64
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 2 · 2023: 8 · 2022: 15 · 2021: 14 · 2020: 6 · 2019: 7 · 2018: 10 · 2016: 1
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Colorectal Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Rheumatology › Omental and Epiploic Conditions
- Health Sciences › Medicine › Emergency Medicine › Appendicitis Diagnosis and Management
- Keywords
- in-hospital mortality, mortality trends
- MeSH terms
- Acute Disease, Female, Humans, Infarction, Intestines, Male, Mesenteric Arteries, Mesenteric Veins, Mesentery, Hospital Mortality, Observational Studies as Topic, Mesenteric Ischemia
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