{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,24]],"date-time":"2025-08-24T22:53:06Z","timestamp":1756075986545,"version":"3.37.3"},"reference-count":47,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2016,8,18]],"date-time":"2016-08-18T00:00:00Z","timestamp":1471478400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Perforated gastroduodenal ulcer carries a high mortality rate. Need for reintervention after surgical repair is associated with worse outcome, but knowledge on risk factors for reintervention is limited. The aim was to identify prognostic risk factors for reintervention after perforated gastroduodenal ulcer in a nationwide cohort.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>All patients treated surgically for perforated gastroduodenal ulcer in Denmark between 2003 and 2014 were included using data from the Danish Clinical Register of Emergency Surgery. Potential risk factors for reintervention were assessed, and their crude and adjusted associations calculated by the competing risks subdistribution hazards approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 4086 patients underwent surgery for perforated gastroduodenal ulcer during the study interval. Median age was 71\u00b71 (i.q.r. 59\u00b76\u201381\u00b70) years and the overall 90-day mortality rate was 30\u00b78 per cent (1258 of 4086). Independent risk factors for reintervention were: male sex (adjusted hazard ratio (HR) 1\u00b746, 95 per cent c.i. 1\u00b720 to 1\u00b778), in-hospital perforation (adjusted HR 1\u00b736, 1\u00b711 to 1\u00b768), high BMI (adjusted HR 1\u00b749, 1\u00b710 to 2\u00b701), high ASA physical status grade (adjusted HR 1\u00b754, 1\u00b723 to 1\u00b794), shock on admission (adjusted HR 1\u00b740, 1\u00b713 to 1\u00b774), surgical delay (adjusted HR 1\u00b707, 1\u00b702 to 1\u00b714) and other co-morbidity (adjusted HR 1\u00b724, 1\u00b702 to 1\u00b751). Preadmission use of steroids (adjusted HR 0\u00b759, 0\u00b741 to 0\u00b784) and age above 70 years (adjusted HR 0\u00b772, 0\u00b759 to 0\u00b789) were associated with a reduced risk of reoperation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Obese men with coexisting diseases and high disease severity who have surgery for gastroduodenal perforation are at increased risk of reoperation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.10273","type":"journal-article","created":{"date-parts":[[2016,8,18]],"date-time":"2016-08-18T14:22:37Z","timestamp":1471530157000},"page":"1676-1682","source":"Crossref","is-referenced-by-count":8,"title":["Risk factors for reintervention after surgery for perforated gastroduodenal ulcer"],"prefix":"10.1093","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0384-2521","authenticated-orcid":false,"given":"R B","family":"Hasselager","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Hvidovre Hospital, Hvidovre, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Lohse","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care, Hvidovre Hospital, Hvidovre, Denmark"},{"name":"Department of Anaesthesia, Centre of Head and Orthopaedics 4231, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Duch","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M H","family":"M\u00f8ller","sequence":"additional","affiliation":[{"name":"Department of Intensive Care 4131, Copenhagen University Hospital Rigshospitalet, Copenhagen, 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