Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/30585
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dc.contributor.authorMitreski, Goran-
dc.contributor.authorMcGill, Jeannette-
dc.contributor.authorNikolovski, Zoran-
dc.contributor.authorJamel, Wael-
dc.contributor.authorAl-Kaisey, Yasir-
dc.contributor.authorKam, Ning Mao-
dc.contributor.authorCon, Danny-
dc.contributor.authorArdalan, Zaid-
dc.contributor.authorKutaiba, Numan-
dc.date2022-
dc.date.accessioned2022-07-27T23:26:29Z-
dc.date.available2022-07-27T23:26:29Z-
dc.date.issued2022-07-22-
dc.identifier.citationANZ Journal of Surgery 2022; 92(11)en
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/30585-
dc.description.abstractDiverticular disease remains one of the most common conditions in the western world. Up to 25% of patients with diverticular disease require hospitalization, 15-30% of those of which require surgical intervention. CT scoring systems have been proposed as means to drive assessment and stratify patients necessitating hospital intervention. To assess and correlate CT scoring systems with clinical and surgical outcomes. Retrospective cohort analysis at a single institution. Single institutional assessment with patients presenting to emergency with a CT diagnosed episode of acute diverticulitis. One hundred and eighty-nine patients were included in the study, 61% of which were male. Patient demographics, comorbidities, medications, biochemistry and inflammatory markers, type of complication following acute diverticulitis, operative/procedural intervention, hospital outcome and mortality were measured. CT scoring systems assessed included modified Hinchey, modified Neff, World Society of Emergency Surgery (WSES) and modified Siewert scoring systems. Majority of patients had left-sided diverticulitis (91%) with localized air (88%) and pericolic abscess (49%) the most common radiological findings. 28% of patients required radiological and/or surgical management with 12% requiring intensive care unit (ICU) admission. There was a general trend for surgical/radiological intervention as the scores increased in severity. The four scoring systems were found to be statistically significant predictors of any intervention and of ICU admission with minimal statistical differences across the different scoring systems. Radiological CT scores for complicated diverticulitis are at best, moderate predictors of clinical and surgical outcomes and may serve to guide management with minimal statistical differences across different scores.en
dc.language.isoeng-
dc.subjectcolonoscopyen
dc.subjectcolorectal surgeryen
dc.subjectdiverticulitisen
dc.titleValue of computed tomography scores in complicated acute diverticulitis.en
dc.typeJournal Articleen
dc.identifier.journaltitleANZ journal of surgeryen
dc.identifier.affiliationRadiologyen
dc.identifier.affiliationGeneral Medicineen
dc.identifier.affiliationSurgeryen
dc.identifier.affiliationDepartment of Radiology, St Vincent's Health, Melbourne, Victoria, Australia..en
dc.identifier.affiliationDepartment of Gastroenterology, Eastern Health, Melbourne, Victoria, Australia..en
dc.identifier.affiliationDepartment of Gastroenterology, Alfred Health and Monash University, Melbourne, Victoria, Australia..en
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/35866354/en
dc.identifier.doi10.1111/ans.17913en
dc.type.contentTexten
dc.identifier.orcidhttps://orcid.org/0000-0003-0312-0617en
dc.identifier.orcidhttps://orcid.org/0000-0002-6189-9721en
dc.identifier.orcidhttps://orcid.org/0000-0003-0117-0071en
dc.identifier.orcidhttps://orcid.org/0000-0003-4627-9847en
dc.identifier.pubmedid35866354-
local.name.researcherKutaiba, Numan
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
item.grantfulltextnone-
crisitem.author.deptRadiology-
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