Analysis of risk factors of sepsis in cancerous mechanical bowel obstruction

Liu Xing; Zhang Wei; Ma Huaixing; Yu Haobin; Wu Dan; Liu Weiwei; Li Shiwei; Li Suyi

doi:10.16689/j.cnki.cn11-9349/r.2020.03.018

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Electronic Journal of Metabolism and Nutrition of Cancer ›› 2020, Vol. 7 ›› Issue (3) : 347-351. DOI: 10.16689/j.cnki.cn11-9349/r.2020.03.018

Analysis of risk factors of sepsis in cancerous mechanical bowel obstruction

Liu Xing1, Zhang Wei2, Ma Huaixing1, Yu Haobin1, Wu Dan1, Liu Weiwei1, Li Shiwei1, Li Suyi1

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Abstract

Objective To explore the risk factors of sepsis in cancerous mechanical bowel obstruction. Methods The clinical data of 245 patients with the first cancerous mechanical bowel obstruction were analyzed retrospectively. The possible risk factors of sepsis in these patients were analyzed by unconditional logistic regression. Results The incidence of cancerous mechanical intestinal obstruction complicated with sepsis was 11.8% (29/245). Single factor analysis suggests that concurrent sepsis may be related to the patients body mass index<18.5kg/m2(P=0.033), PG-SGA evaluation of C grade(P=0.026), and serum levels of inflammatory factors such as blood C-reactive protein, procalcitonin, interleukin-6 levels increased (P<0.05), and no glucocorticoid treatment(P=0.039), the history of abdominal and pelvic radiotherapy (P=0.001). The results of multivariate analysis showed that body mass index<18.5kg/m2, PG-SGA evaluation of C grade and serum C-reactive protein, procalcitonin, and interleukin-6 levels increased, as well as no glucocorticoid treatment and the history of abdominal pelvic radiotherapy are cancerous mechanical bowel independent risk factors for obstruction complicated with sepsis (P<0.05). Conclusion Cancerous mechanical bowel obstruction complicated with sepsis is caused by many factors, The main risk factors were patients with body mass index<18.5kg/m2, PG-SGA grade C, serum C-reactive protein, procalcitonin, interleukin-6 levels increased, glucocorticoid-free treatment and history of abdominal pelvic radiotherapy.

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Liu Xing, Zhang Wei, Ma Huaixing, Yu Haobin, Wu Dan, Liu Weiwei, Li Shiwei, Li Suyi. Analysis of risk factors of sepsis in cancerous mechanical bowel obstruction[J]. Electronic Journal of Metabolism and Nutrition of Cancer. 2020, 7(3): 347-351 https://doi.org/10.16689/j.cnki.cn11-9349/r.2020.03.018

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