{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T20:16:11Z","timestamp":1773519371167,"version":"3.50.1"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"48","license":[{"start":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T00:00:00Z","timestamp":1638489600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>Abstract<\/jats:title>\n            <jats:p>Several large-scale studies have assessed the endovascular and surgical treatments for nonocclusive mesenteric ischemia (NOMI); nonetheless, the prognostic factors for NOMI remain unclear.<\/jats:p>\n            <jats:p>In this single-center study, we retrospectively reviewed the electronic medical records of 197, 149 patients were retrieved from the inpatient database of our hospital from January 2011 to January 2020; 79 patients with NOMI were observed. A total of 44 patients who underwent laparotomy were statistically analyzed and divided into the survivor and non-survivor groups. Prognostic factors were compared between the 2 groups. Exploratory laparotomy based on a second-look surgery was the first treatment choice.<\/jats:p>\n            <jats:p>The overall mortality rate was 61.3%, with a male-to-female ratio of 1.6:1. The median Sequential Organ Failure Assessment (SOFA) score was 11.06 [5.75-17.25]. The median SOFA score was 5 [interquartile range: 3-8] in the survivor group and 14.8 [interquartile range: 10.5-19] in the non-survivor group. The log-rank test showed a significant difference in the presence of diabetes mellitus (<jats:italic toggle=\"yes\">P<\/jats:italic> = .025), hypoglycemia (<jats:italic toggle=\"yes\">P<\/jats:italic> = .001), SOFA score \u226510 (<jats:italic toggle=\"yes\">P<\/jats:italic>\u200a&lt;\u200a.001), hemoglobin levels \u226511\u200ag\/dL (<jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a.003), platelet count \u226512.9\u200a\u00d7\u200a10<jats:sup>4<\/jats:sup>\/\u03bcL (<jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a.01), lactate levels \u22652.6\u200ammol\/L (<jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a.005), and base excess &lt;-3.0 (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; .023). Multivariate analysis using the factors with significant differences revealed that SOFA score \u226510 (hazard ratio for death, 1.199; 95% confidence interval, 1.101-1.305; <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a&lt;\u200a.001) was an independent prognostic factor.<\/jats:p>\n            <jats:p>The SOFA score can be used to assess disease severity. A SOFA score of \u226510 may be associated with increased mortality.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/md.0000000000028056","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T13:02:42Z","timestamp":1638536562000},"page":"e28056","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Monitoring the Sequential Organ Failure Assessment score in nonocclusive mesenteric ischemia increases the survival rate"],"prefix":"10.1097","volume":"100","author":[{"given":"Takaaki","family":"Murata","sequence":"first","affiliation":[{"name":"Department of General Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Kawachi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuto","family":"Igarashi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuma","family":"Suno","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoki","family":"Nishida","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsunori","family":"Miyake","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoko","family":"Isogai","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuta","family":"Fukai","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Kashiwagi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rai","family":"Shimoyama","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Hirata","sequence":"additional","affiliation":[{"name":"Center for Clinical and Translational Science, Shonan Kamakura General Hospital, Kanagawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuaki","family":"Shinozaki","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2021,12,3]]},"reference":[{"key":"R1-20250504","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1056\/NEJM195805012581804","article-title":"Infarction of the bowel in cardiac failure","volume":"258","author":"Ende","year":"1958","journal-title":"N Engl J Med"},{"key":"R2-20250504","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1056\/NEJMra1503884","article-title":"Mesenteric 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