INTRODUCTION Despite a growing armamentarium of medical therapies for ulcerative colitis, colectomy remains an important therapeutic option. To better inform shared decision-making about surgery, we estimated the contemporary risk of mortality after colectomy. METHODS Mortality rates were estimated using the National Inpatient Sample (2016-2020). Factors associated with postcolectomy death were evaluated in multivariable regression. RESULTS Postcolectomy mortality occurred in 1.2% (95% CI: 0.8%, 1.9%) of hospitalizations. Comorbidity burden, emergent laparotomy, and delays to surgery >5 days after admission were associated with mortality. DISCUSSION Colectomy may be associated with mortality; however, this risk is heterogeneous based on patient- and procedural-related factors.

中文翻译：

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美国国家对接受结肠切除术的溃疡性结肠炎患者当代死亡率的估计。


引言 尽管溃疡性结肠炎的药物治疗手段不断丰富，但结肠切除术仍然是一种重要的治疗选择。为了更好地为有关手术的共同决策提供信息，我们估计了结肠切除术后的当代死亡风险。方法 使用全国住院患者样本（2016-2020 年）估算死亡率。通过多变量回归评估与结肠切除术后死亡相关的因素。结果 结肠切除术后住院患者死亡率为 1.2%（95% CI：0.8%，1.9%）。合并症负担、紧急剖腹手术以及入院后 >5 天的手术延迟与死亡率相关。讨论 结肠切除术可能与死亡率相关；然而，这种风险因患者和手术相关因素而异。