Development cohort ( n = 100) | Validation cohort ( n = 27) | |
---|---|---|
Background | ||
Age, yearsa | 69 (57–82) | 72 (54–85) |
Sex, male/female | 37 / 63 | 13 / 15 |
Past history of surgery (absent/present) | 62 / 38 | 15 / 12 |
Duration of symptoms before surgery, hours a | 12 (8–21) | 15 (8–26) |
ASA-PS (1/2/3) | 13 / 52 / 35 | 5 / 14 / 8 |
Physical findings | ||
Peritoneal irritation sign (absent/present) | 39 / 61 | 7 / 20 |
Body temperature, °Ca | 36.6 (36.2—36.9) | 36.9 (36.6—37.1) |
Laboratory data | ||
WBC count, 103/La | 9.5 (7.5—12.9) | 10.0 (8.0—13.1) |
CRP, mg/La | 0.20 (0.10—0.73) | 0.18 (0.10—1.30) |
CK, U/La | 88 (50—126) | 82 (58—125) |
LDH, U/La | 210 (181—252) | 200 (176—223) |
Arterial blood gas | ||
pHa | 7.44 (7.41—7.47) | 7.44 (7.41—7.45) |
BE, mmol/La | 0.2 (-2.4—1.4) | 0.8 (-0.9—2.0) |
CT findings | ||
Ascites (absent/present) | 75 / 25 | 17 / 10 |
Mesenteric fluid (absent/present) | 73 / 27 | 18 / 9 |
Reduced bowel wall enhancement (absent/present) | 40 / 44 | 10 / 11 |
Surgery | ||
Small bowel resection (absent/present) | 36 / 64 | 10 / 17 |
Etiology of SSBO based on surgical findings | ||
Adhesive disease | 86 (86%) | 22 (81%) |
Internal hernia | 11 (11%) | 5 (19%) |
Volvulus | 3 (3%) | 0 |