Surgery, Ulcerative Colitis Acute
Conditions
Keywords
acute severe ulcerative colitis, predictive indicator, surgery
Brief summary
Acute severe ulcerative colitis \[ASUC\] patients have high risk of no response to medical treatments and might miss the best timing for surgery when waiting for the medical response. Thus, we investigated whether biomarkers which could early predict the surgery risk of patients with ASUC on admission.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
The inclusion criterion was patients clearly diagnosed as acute severe ulcerative colitis.
Exclusion criteria
Patients younger than 18 years-of-age, complicated with malignancy in colon and pregnant were excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Colon operation | 30 days | 100% direct approximation of inevitable surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| No response to medical treatments | 5 days | Medical treatments involve glucocorticoids, Immunosuppressant and biologicals for ulcerative colitis. The Oxford Index measured everyday, consisting of CRP and stool frequency, is used to evaluate the response to the treatment. If the Oxford Index does not reduce after 5-day medical treatment, this situation is deemed as no response to medical treatment |
| 30-day mortality | 30 days | All-cause mortality within 30 days |