{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T03:35:15Z","timestamp":1777347315742,"version":"3.51.4"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"13","license":[{"start":{"date-parts":[[2019,8,9]],"date-time":"2019-08-09T00:00:00Z","timestamp":1565308800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2019,8,9]],"date-time":"2019-08-09T00:00:00Z","timestamp":1565308800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000226","name":"Ontario Ministry of Health and Long-Term Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000226","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Physician Services Incorporated"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,11,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Small bowel obstruction due to adhesions (aSBO) is a common indication for admission to a surgical unit. Despite the prevalence of this condition, the short- and medium-term survival of this patient population has not been well described. The purpose of this study was to measure the short- and medium-term survival of patients admitted to hospital with aSBO.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Linked administrative data were used to identify patients admitted to hospital in Ontario, Canada, for aSBO between 2005 and 2011. Patients were divided into two groups: those aged less than 65 years (younger group) and those aged 65 years and older (older group). Thirty-day, 90-day and 1-year mortality rates were estimated. One-year mortality was compared with that in the general population, adjusting for age and sex. The timing of deaths in relation to admission was assessed, as well as the proportion of patients discharged before experiencing short-term mortality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were 22 197 patients admitted to hospital for aSBO for the first time in the study interval. Mean age was 64\u00b75 years and 52\u00b72 per cent of the patients were women. Overall, the 30-day, 90-day and 1-year mortality rates for the cohort were 5\u00b77 (95 per cent c.i. 5\u00b74 to 6\u00b70), 8\u00b77 (8\u00b73 to 9\u00b70) and 13\u00b79 (13\u00b74 to 14\u00b73) per cent respectively. For both groups, the 1-year risk of death was significantly greater than that of the age-matched general population. The majority of deaths (62\u00b75 per cent) occurred within 90 days of admission, with 36\u00b74 per cent occurring after discharge from the aSBO admission.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Patients admitted with aSBO have a high short-term mortality rate. Increased monitoring of patients in the early period after admission is advisable.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.11284","type":"journal-article","created":{"date-parts":[[2019,8,9]],"date-time":"2019-08-09T12:54:08Z","timestamp":1565355248000},"page":"1847-1854","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Population-based study of the impact of small bowel obstruction due to adhesions on short- and medium-term mortality"],"prefix":"10.1093","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2283-974X","authenticated-orcid":false,"given":"R","family":"Behman","sequence":"first","affiliation":[{"name":"Division of General Surgery, Department of Surgery, University of Toronto , Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A B","family":"Nathens","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, University of Toronto , Toronto, Ontario, Canada"},{"name":"Institute of Health Policy Management and Evaluation, University of Toronto , Toronto, Ontario, Canada"},{"name":"Division of General Surgery, Sunnybrook Health Sciences Centre , Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Haas","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, University of Toronto , Toronto, Ontario, Canada"},{"name":"Institute of Health Policy Management and Evaluation, University of Toronto , Toronto, Ontario, Canada"},{"name":"Interdepartmental Division of Critical Care Medicine, University of Toronto , Toronto, Ontario, Canada"},{"name":"Division of General Surgery, Sunnybrook Health Sciences Centre , Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Look Hong","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, University of Toronto , Toronto, Ontario, Canada"},{"name":"Institute of Health Policy Management and Evaluation, University of Toronto , Toronto, Ontario, Canada"},{"name":"Division of General Surgery, Sunnybrook Health Sciences Centre , Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Pechlivanoglou","sequence":"additional","affiliation":[{"name":"Institute of Health Policy Management and Evaluation, University of Toronto , Toronto, Ontario, Canada"},{"name":"Child Health Evaluative Sciences, Hospital for Sick Children , Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Karanicolas","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery, University of Toronto , Toronto, Ontario, Canada"},{"name":"Institute of Health Policy Management and Evaluation, University of Toronto , Toronto, Ontario, Canada"},{"name":"Division of General Surgery, Sunnybrook Health Sciences Centre , Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,8,9]]},"reference":[{"key":"2022100812461966200_bjs11284-bib-0001","volume-title":"Fourth National Emergency Laparotomy Audit","author":"NELA Project Team","year":"2018"},{"key":"2022100812461966200_bjs11284-bib-0002","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1097\/SLA.0b013e3182a1b100","article-title":"Early operation is associated with a survival benefit for patients with adhesive bowel obstruction","volume":"258","author":"Teixeira","year":"2013","journal-title":"Ann Surg"},{"key":"2022100812461966200_bjs11284-bib-0003","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1097\/TA.0b013e31827891a1","article-title":"How many sunsets? 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