{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T23:25:14Z","timestamp":1793921114250,"version":"4.8.0"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2006,1,31]],"date-time":"2006-01-31T00:00:00Z","timestamp":1138665600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Internal Medicine"],"published-print":{"date-parts":[[2006,3]]},"abstract":"<jats:title>Abstract.<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Objectives.\u2002<\/jats:bold>\n                    To estimate the incidence and extension of visceral organ infarction, and to evaluate potential causes, in patients with autopsy\u2010verified nonocclusive mesenteric ischaemia (NOMI) and transmural intestinal infarction.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting.\u2002<\/jats:bold>\n                    In Malm\u00f6, Sweden, the autopsy rate between 1970 and 1982 was 87%, creating possibilities for a population\u2010based study.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design.\u2002<\/jats:bold>\n                    Amongst 23\u2003446 clinical autopsies, 997 cases were coded for intestinal ischaemia in a database. In addition, 7569 forensic autopsy protocols were analysed. In a nested case\u2013control study within the clinical autopsy cohort, four NOMI\u2010free controls, matched for gender, age at death and year of death, were identified for each fatal NOMI case to evaluate risk factors.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results.\u2002<\/jats:bold>\n                    The overall incidence of autopsy\u2010verified fatal NOMI was 2.0\/100\u2003000\u2003person\u2010years, increasing with age up to 40\/100\u2003000\u2003person\u2010years in octogenarians. Patients with stenosis of the superior mesenteric artery (SMA;\n                    <jats:italic>n<\/jats:italic>\n                    \u2003=\u200325) were older (\n                    <jats:italic>P<\/jats:italic>\n                    \u2003=\u20030.002) than those without (\n                    <jats:italic>n<\/jats:italic>\n                    \u2003=\u200337), and had more often a concomitant stenosis of the coeliac trunk (\n                    <jats:italic>P<\/jats:italic>\n                    \u2003&lt;\u20030.001). Synchronous infarction in the liver, spleen or kidney occurred in one\u2010fifth of all patients. Fatal cardiac failure [OR 2.9 (1.7\u20135.2)], history of atrial fibrillation [OR 2.2 (1.2\u20134.0)] and recent surgery [OR 3.4 (1.6\u20136.9)] were risk factors for fatal NOMI.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions.\u2002<\/jats:bold>\n                    Fatal heart failure was the leading cause of intestinal hypoperfusion, although stenosis of the SMA and coeliac trunk, atrial fibrillation and recent surgery contributed significantly. Collaboration across specialties seems to be of utmost importance to improve the prognosis.\n                  <\/jats:p>","DOI":"10.1111\/j.1365-2796.2006.01613.x","type":"journal-article","created":{"date-parts":[[2006,1,31]],"date-time":"2006-01-31T08:01:30Z","timestamp":1138694490000},"page":"305-313","source":"Crossref","is-referenced-by-count":105,"title":["Fatal nonocclusive mesenteric ischaemia: population\u2010based incidence and risk factors"],"prefix":"10.1111","volume":"259","author":[{"given":"S.","family":"ACOSTA","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"\u00d6GREN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.\u2010H.","family":"STERNBY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"BERGQVIST","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"BJ\u00d6RCK","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,1,31]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800750614"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200106000-00010"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/110241599750007054"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10016-001-0329-8"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)45633-1"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800740628"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.120373"},{"key":"e_1_2_7_9_2","first-page":"466","article-title":"Aortic aneurysms","volume":"127","author":"Carlsson J","year":"1964","journal-title":"Acta Chir Scand"},{"key":"e_1_2_7_10_2","first-page":"5","article-title":"Atherosclerosis of the aorta and coronary arteries in five towns","volume":"53","author":"Kagan R","year":"1976","journal-title":"Bull World Health Organ"},{"issue":"1","key":"e_1_2_7_11_2","first-page":"5","article-title":"Atherosclerosis in a defined population. 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