The impact of preoperative steroid use on short-term outcomes following surgery for inflammatory bowel disease

Geoffrey C. Nguyen, Ahmad Elnahas, Timothy D. Jackson

Research output: Contribution to journalArticle

Abstract

Background: Inflammatory bowel disease (IBD) patients are frequently treated with steroids prior to surgery. We characterized the association between preoperative steroid use and postoperative complications in a large prospective cohort. Methods: We identified patients who underwent major IBD-related abdominal surgery in the American College of Surgeon's National Surgical Quality Improvement Program (ACS-NSQIP) between 2005 and 2012. We compared the risk of postoperative complications and 30-day mortality between preoperative steroid users and non-users. Results: We identified 8260 Crohn's disease (CD) and 7235 ulcerative colitis (UC) patients who underwent major abdominal surgery. Preoperative steroid use was associated with higher risk of postoperative complications, excluding death, in both CD (22.6% vs. 18.5%, P.

Original languageEnglish (US)
Pages (from-to)1661-1667
Number of pages7
JournalJournal of Crohn's and Colitis
Volume8
Issue number12
DOIs
StatePublished - Dec 1 2014
Externally publishedYes

Fingerprint

Inflammatory Bowel Diseases
Steroids
Crohn Disease
Quality Improvement
Ulcerative Colitis
Mortality

Keywords

  • Corticosteroids
  • Crohn's disease
  • Inflammatory bowel disease
  • Postoperative complications
  • Surgery
  • Ulcerative colitis

ASJC Scopus subject areas

  • Gastroenterology
  • Medicine(all)

Cite this

The impact of preoperative steroid use on short-term outcomes following surgery for inflammatory bowel disease. / Nguyen, Geoffrey C.; Elnahas, Ahmad; Jackson, Timothy D.

In: Journal of Crohn's and Colitis, Vol. 8, No. 12, 01.12.2014, p. 1661-1667.

Research output: Contribution to journalArticle

Nguyen, Geoffrey C. ; Elnahas, Ahmad ; Jackson, Timothy D. / The impact of preoperative steroid use on short-term outcomes following surgery for inflammatory bowel disease. In: Journal of Crohn's and Colitis. 2014 ; Vol. 8, No. 12. pp. 1661-1667.
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