Retrospective Cohort Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Mar 7, 2023; 29(9): 1509-1522
Published online Mar 7, 2023. doi: 10.3748/wjg.v29.i9.1509
Comprehensively evaluate the short outcome of small bowel obstruction: A novel medical-economic score system
Wei-Xuan Xu, Qi-Hong Zhong, Yong Cai, Can-Hong Zhan, Shuai Chen, Hui Wang, Peng-Sheng Tu, Wen-Xuan Chen, Xian-Qiang Chen, Jun-Rong Zhang
Wei-Xuan Xu, Qi-Hong Zhong, Yong Cai, Can-Hong Zhan, Shengli Clinical Medical College, Fujian Medical University, Fuzhou 350122, Fujian Province, China
Shuai Chen, Hui Wang, Peng-Sheng Tu, Wen-Xuan Chen, Xian-Qiang Chen, Jun-Rong Zhang, Department of General Surgery (Emergency Surgery), Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China
Author contributions: Xu WX designed and performed the research and drafted the manuscript; Zhang JR designed the research and supervised and reviewed the report; Chen XQ supervised the report and provided funding acquisition; Zhong QH, Cai Y, Zhan CH, designed the research and contributed to the analysis; Chen WX, Chen S, Wang H, Tu PS collected data and provided methodology.
Supported by Joint Funds for the innovation of science and Technology, Fujian Province, No. 2018Y9054; Young and Middle-Aged Talents Backbone Program of Fujian Province, No. 2020GGA034; The Construction Project of Fujian Province Minimally Invasive Medical Center, No. [2021]76.
Institutional review board statement: The study protocol was approved by the Institutional Review Board of Fujian Medical University Union Hospital (Approval No. 2021YF005-02).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All authors read and approved the final manuscript and declared no conflicts of interest.
Data sharing statement: The original anonymous dataset is available on request from the corresponding author at junrongzhang@fjmu.edu.cn.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun-Rong Zhang, MD, Attending Doctor, Chief Doctor, Surgeon, Surgical Oncologist, Department of General Surgery (Emergency Surgery), Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou 350001, Fujian Province, China. junrongzhang@fjmu.edu.cn
Received: November 27, 2022
Peer-review started: November 27, 2022
First decision: December 27, 2022
Revised: January 1, 2023
Accepted: February 15, 2023
Article in press: February 15, 2023
Published online: March 7, 2023
Core Tip

Core Tip: A novel outcome indicator based on the standardized length of stay, total hospital cost and the presence of severe adverse events provided a comprehensive system for evaluating small bowel obstruction (SBO) outcomes. Furthermore, risk statuses associated with poor results were identified; specifically, for simple SBO patients, a low lymphocyte to monocyte ratio, as well as radiological features of a lack of small bowel feces signs and mural thickening, should be noticeable. For the strangulated SBO group, higher blood urea nitrogen levels and lower lymphocytes levels were recognized. Accordingly, early clinical intensive care was applicable for outcome improvement.