Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Postoperative ileus (POI) is a significant complication after loop ileostomy closure given both its frequency and impact on the patient. The purpose of this study was to develop and externally validate a prediction model for POI after loop ileostomy closure. The model was developed and validated according to the TRIPOD checklist for prediction model development and validation. The development cohort included consecutive patients who underwent loop ileostomy closure in NSCB Medical college and hospital in Jabalpur, Candidate variables considered for inclusion in the model were chosen a priori based on subject knowledge. The final prediction model, which modelled the 14‐day cumulative incidence of POI using logistic regression, was selected using the highest area under the receiver operating characteristic curve (AUC) criterion. The development cohort included 100 patients, in whom the incidence of POI was 7%. The final model included ten variables patient age, sex BMI comorbidities, indication for stoma creation effect of chemotherapy, stoma reversal time, hemoglobin level protein status hospital stay Potassium level serum creatinine leucocytes count platelets count. The model demonstrated good calibration. The validation cohort consisted of 100 patients, and the incidence of POI was 7%. On external validation, the model maintained good discrimination and calibration. A prediction model was developed for POI after loop ileostomy closure and included 14 variables. The model maintained good performance on external validation.
How to cite this article:
Atul Kumar Khare, Kuldip Pratap Patel, Arun Kumar Pargi and Ravi Pratap Singh. Postoperative Paralytic Ileus After Stoma Closure‐Impact on Patient Recovery.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.22.27
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.22.27