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Faecal impaction: In-hospital complications and their predictors in a retrospective study on 130 patients

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dc.contributor.author Halawi H.M.
dc.contributor.author Maasri K.A.
dc.contributor.author Mourad F.H.
dc.contributor.author Barada K.A.
dc.contributor.editor
dc.date Feb-2012
dc.date.accessioned 2017-10-05T15:38:03Z
dc.date.available 2017-10-05T15:38:03Z
dc.date.issued 2012
dc.identifier 10.1111/j.1463-1318.2011.02769.x
dc.identifier.isbn
dc.identifier.issn 14628910
dc.identifier.uri http://hdl.handle.net/10938/16114
dc.description.abstract Aim Faecal impaction may be a medical emergency. The frequency of complications of this condition and their predictors are not known. We determined the clinical presentation, the in-hospital complications and their predictors in 130 patients diagnosed with faecal impaction. Method This was a retrospective study of the medical records of 130 patients who presented with faecal impaction to a tertiary care center in Beirut, Lebanon, between 1992 and 2009. The clinical outcome and complications were reviewed. The association between in-hospital complications and other variables was determined. Results The mean age of the patients was 67.1years. Ninety-eight (75.3percent) patients had at least one of the following: heart disease (36.3percent), neurological disease (28.8percent) or diabetes (22.6percent), and 26.7percent were bedridden. The site of impaction was the rectum in 66.4percent. The patients were treated by manual disimpaction (34.5percent), enema (89.1percent) or oral laxatives (84.0percent). A delay in treatment of more than 6h occurred in 70 (53.8percent) patients. In-hospital complications occurred in 34 (24.6percent) patients, the most common of which were infectious (16 cases), systemic inflammatory response syndrome (16 cases), cardiopulmonary (14 cases) and death (one patient). Time to the start of treatment was longer in patients who developed complications compared with those who did not (10.1h vs 7.1h; P=0.02). Patients 80years of age, or patients with heart or neurological disease were at a higher risk of developing complications (P=0.03, P=0.03 and P=0.02, respectively). Conclusion Treatment delay, increasing age and the presence of heart or neurological disease seem to be predictors of in-hospital complications in patients with faecal impaction. © 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.
dc.format.extent
dc.format.extent Pages: (231-236)
dc.language English
dc.publisher MALDEN
dc.relation.ispartof Publication Name: Colorectal Disease; Publication Year: 2012; Volume: 14; no. 2; Pages: (231-236);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Faecal impaction: In-hospital complications and their predictors in a retrospective study on 130 patients
dc.type Article
dc.contributor.affiliation Halawi, H.M., Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Maasri, K.A., Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Mourad, F.H., Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Barada, K.A., Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Barada, K.A.; Gastroenterology Division, Department of Internal Medicine, American University of Beirut Medical Center, PO-Box 11-0236, Riad El Solh, 110 72020, Beirut, Lebanon; email: kb02@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Internal Medicine;
dc.contributor.authorDepartment Internal Medicine
dc.contributor.authorDivision
dc.contributor.authorEmail kb02@aub.edu.lb
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Halawi, HM
dc.contributor.authorInitials Maasri, KA
dc.contributor.authorInitials Mourad, FH
dc.contributor.authorInitials Barada, KA
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Barada, KA (reprint author), Amer Univ Beirut, Div Gastroenterol, Dept Internal Med, Med Ctr, POB 11-0236, Beirut 11072020, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 3
dc.description.citedTotWOSCount 3
dc.description.citedWOSCount 3
dc.format.extentCount 6
dc.identifier.articleNo
dc.identifier.coden CODIF
dc.identifier.pubmedID 21848667
dc.identifier.scopusID 84855734788
dc.identifier.url
dc.publisher.address COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA
dc.relation.ispartofConference
dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr Colorectal Dis.
dc.relation.ispartOfIssue 2
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Colorectal Disease
dc.relation.ispartofPubTitleAbbr Colorectal Dis.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 14
dc.source.ID WOS:000298944800026
dc.type.publication Journal
dc.subject.otherAuthKeyword Complications
dc.subject.otherAuthKeyword Faecal impaction
dc.subject.otherAuthKeyword Predictors
dc.subject.otherChemCAS lactulose, 4618-18-2
dc.subject.otherChemCAS macrogol, 25322-68-3
dc.subject.otherChemCAS Laxatives
dc.subject.otherIndex enema
dc.subject.otherIndex lactulose
dc.subject.otherIndex laxative
dc.subject.otherIndex macrogol
dc.subject.otherIndex magnesium salt
dc.subject.otherIndex abdominal pain
dc.subject.otherIndex adolescent
dc.subject.otherIndex adult
dc.subject.otherIndex aged
dc.subject.otherIndex anemia
dc.subject.otherIndex article
dc.subject.otherIndex artificial ventilation
dc.subject.otherIndex child
dc.subject.otherIndex congestive heart failure
dc.subject.otherIndex constipation
dc.subject.otherIndex controlled study
dc.subject.otherIndex death
dc.subject.otherIndex dehydration
dc.subject.otherIndex diabetes mellitus
dc.subject.otherIndex diarrhea
dc.subject.otherIndex electrolyte disturbance
dc.subject.otherIndex feces impaction
dc.subject.otherIndex female
dc.subject.otherIndex fever
dc.subject.otherIndex heart arrest
dc.subject.otherIndex heart disease
dc.subject.otherIndex heart tamponade
dc.subject.otherIndex human
dc.subject.otherIndex hypotension
dc.subject.otherIndex hypoxia
dc.subject.otherIndex incontinence
dc.subject.otherIndex kidney failure
dc.subject.otherIndex Lebanon
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex medical record review
dc.subject.otherIndex nausea and vomiting
dc.subject.otherIndex neurologic disease
dc.subject.otherIndex outcome assessment
dc.subject.otherIndex pancreatitis
dc.subject.otherIndex pneumonia
dc.subject.otherIndex priority journal
dc.subject.otherIndex rectovaginal fistula
dc.subject.otherIndex rectum
dc.subject.otherIndex rectum hemorrhage
dc.subject.otherIndex respiratory distress
dc.subject.otherIndex school child
dc.subject.otherIndex sepsis
dc.subject.otherIndex stomach distension
dc.subject.otherIndex systemic inflammatory response syndrome
dc.subject.otherIndex tertiary health care
dc.subject.otherIndex therapy delay
dc.subject.otherIndex thrombocytopenia
dc.subject.otherIndex urinary tract infection
dc.subject.otherIndex Adolescent
dc.subject.otherIndex Adult
dc.subject.otherIndex Age Factors
dc.subject.otherIndex Aged
dc.subject.otherIndex Aged, 80 and over
dc.subject.otherIndex Child
dc.subject.otherIndex Enema
dc.subject.otherIndex Fecal Impaction
dc.subject.otherIndex Female
dc.subject.otherIndex Heart Diseases
dc.subject.otherIndex Hospitalization
dc.subject.otherIndex Humans
dc.subject.otherIndex Infection
dc.subject.otherIndex Laxatives
dc.subject.otherIndex Logistic Models
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Multivariate Analysis
dc.subject.otherIndex Nervous System Diseases
dc.subject.otherIndex Prognosis
dc.subject.otherIndex Retrospective Studies
dc.subject.otherIndex Systemic Inflammatory Response Syndrome
dc.subject.otherIndex Time Factors
dc.subject.otherIndex Young Adult
dc.subject.otherKeywordPlus G STREPTOCOCCAL BACTEREMIA
dc.subject.otherKeywordPlus ELDERLY-PATIENTS
dc.subject.otherKeywordPlus INCONTINENCE
dc.subject.otherKeywordPlus CONSTIPATION
dc.subject.otherWOS Gastroenterology and Hepatology
dc.subject.otherWOS Surgery


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