IROA: International Register of Open Abdomen, preliminary results

Federico Coccolini, Giulia Montori, Marco Ceresoli, Fausto Catena, Rao Ivatury, Michael Sugrue, Massimo Sartelli, Paola Fugazzola, Davide Corbella, Francesco Salvetti, Ionut Negoi, Monica Zese, Savino Occhionorelli, Stefano Maccatrozzo, Sergei Shlyapnikov, Christian Galatioto, Massimo Chiarugi, Zaza Demetrashvili, Daniele Dondossola, Yovcho YovtchevOrestis Ioannidis, Giuseppe Novelli, Mirco Nacoti, Desmond Khor, Kenji Inaba, Demetrios Demetriades, Torsten Kaussen, Asri Che Jusoh, Wagih Ghannam, Boris Sakakushev, Ohad Guetta, Agron Dogjani, Stefano Costa, Sandeep Singh, Dimitrios Damaskos, Arda Isik, Kuo Ching Yuan, Francesco Trotta, Stefano Rausei, Aleix Martinez-Perez, Giovanni Bellanova, Vinicius Cordeiro Fonseca, Fernando Hernández, Athanasios Marinis, Wellington Fernandes, Martha Quiodettis, Miklosh Bala, Andras Vereczkei, Rafael L. Curado, Gustavo Pereira Fraga, Bruno M. Pereira, Mahir Gachabayov, Guillermo Perez Chagerben, Miguel Leon Arellano, Sefa Ozyazici, Gianluca Costa, Tugan Tezcaner, Luca Ansaloni

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: No definitive data about open abdomen (OA) epidemiology and outcomes exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) promoted the International Register of Open Abdomen (IROA). Methods: A prospective observational cohort study including patients with an OA treatment. Data were recorded on a web platform (Clinical Registers®) through a dedicated website: www.clinicalregisters.org. Results: Four hundred two patients enrolled. Adult patients: 369 patients; Mean age: 57.39±18.37; 56% male; Mean BMI: 36±5.6. OA indication: Peritonitis (48.7%), Trauma (20.5%), Vascular Emergencies/Hemorrhage (9.4%), Ischemia (9.1%), Pancreatitis (4.2%),Post-operative abdominal-compartment-syndrome (3.9%), Others (4.2%). The most adopted Temporary-abdominal-closure systems were the commercial negative pressure ones (44.2%). During OA 38% of patients had complications; among them 10.5% had fistula. Definitive closure: 82.8%; Mortality during treatment: 17.2%. Mean duration of OA: 5.39(±4.83) days; Mean number of dressing changes: 0.88(±0.88). After-closure complications: (49.5%) and Mortality: (9%). No significant associations among TACT, indications, mortality, complications and fistula. A linear correlationexists between days of OA and complications (Pearson linear correlation = 0.326 p<0.0001) and with the fistula development (Pearson = 0.146 p= 0.016). Pediatric patients: 33 patients. Mean age: 5.91±(3.68) years; 60% male. Mortality: 3.4%; Complications: 44.8%; Fistula: 3.4%. Mean duration of OA: 3.22(±3.09) days. Conclusion: Temporary abdominal closure is reliable and safe. The different techniques account for different results according to the different indications. In peritonitis commercial negative pressure temporary closure seems to improve results. In trauma skin-closure and Bogotà-bag seem to improve results. Trial registration: ClinicalTrials.gov NCT02382770

Original languageEnglish
Article number10
JournalWorld Journal of Emergency Surgery
Volume12
Issue number1
DOIs
Publication statusPublished - Feb 21 2017
Externally publishedYes

Fingerprint

Abdomen
Fistula
Mortality
Peritonitis
Wounds and Injuries
Emergencies
Intra-Abdominal Hypertension
Pressure
Bandages
Pancreatitis
Observational Studies
Blood Vessels
Epidemiology
Cohort Studies
Ischemia
Pediatrics
Hemorrhage
Skin
Therapeutics

Keywords

  • Barker
  • Bogotà bag
  • Commercial
  • Compartment
  • IROA
  • Ischemia
  • Negative pressure
  • Non-commercial
  • Open abdomen
  • Peritonitis
  • Register
  • Skin
  • Trauma
  • Vascular emergencies
  • Witmann

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine

Cite this

Coccolini, F., Montori, G., Ceresoli, M., Catena, F., Ivatury, R., Sugrue, M., ... Ansaloni, L. (2017). IROA: International Register of Open Abdomen, preliminary results. World Journal of Emergency Surgery, 12(1), [10]. https://doi.org/10.1186/s13017-017-0123-8

IROA : International Register of Open Abdomen, preliminary results. / Coccolini, Federico; Montori, Giulia; Ceresoli, Marco; Catena, Fausto; Ivatury, Rao; Sugrue, Michael; Sartelli, Massimo; Fugazzola, Paola; Corbella, Davide; Salvetti, Francesco; Negoi, Ionut; Zese, Monica; Occhionorelli, Savino; Maccatrozzo, Stefano; Shlyapnikov, Sergei; Galatioto, Christian; Chiarugi, Massimo; Demetrashvili, Zaza; Dondossola, Daniele; Yovtchev, Yovcho; Ioannidis, Orestis; Novelli, Giuseppe; Nacoti, Mirco; Khor, Desmond; Inaba, Kenji; Demetriades, Demetrios; Kaussen, Torsten; Jusoh, Asri Che; Ghannam, Wagih; Sakakushev, Boris; Guetta, Ohad; Dogjani, Agron; Costa, Stefano; Singh, Sandeep; Damaskos, Dimitrios; Isik, Arda; Yuan, Kuo Ching; Trotta, Francesco; Rausei, Stefano; Martinez-Perez, Aleix; Bellanova, Giovanni; Fonseca, Vinicius Cordeiro; Hernández, Fernando; Marinis, Athanasios; Fernandes, Wellington; Quiodettis, Martha; Bala, Miklosh; Vereczkei, Andras; Curado, Rafael L.; Fraga, Gustavo Pereira; Pereira, Bruno M.; Gachabayov, Mahir; Chagerben, Guillermo Perez; Arellano, Miguel Leon; Ozyazici, Sefa; Costa, Gianluca; Tezcaner, Tugan; Ansaloni, Luca.

In: World Journal of Emergency Surgery, Vol. 12, No. 1, 10, 21.02.2017.

Research output: Contribution to journalArticle

Coccolini, F, Montori, G, Ceresoli, M, Catena, F, Ivatury, R, Sugrue, M, Sartelli, M, Fugazzola, P, Corbella, D, Salvetti, F, Negoi, I, Zese, M, Occhionorelli, S, Maccatrozzo, S, Shlyapnikov, S, Galatioto, C, Chiarugi, M, Demetrashvili, Z, Dondossola, D, Yovtchev, Y, Ioannidis, O, Novelli, G, Nacoti, M, Khor, D, Inaba, K, Demetriades, D, Kaussen, T, Jusoh, AC, Ghannam, W, Sakakushev, B, Guetta, O, Dogjani, A, Costa, S, Singh, S, Damaskos, D, Isik, A, Yuan, KC, Trotta, F, Rausei, S, Martinez-Perez, A, Bellanova, G, Fonseca, VC, Hernández, F, Marinis, A, Fernandes, W, Quiodettis, M, Bala, M, Vereczkei, A, Curado, RL, Fraga, GP, Pereira, BM, Gachabayov, M, Chagerben, GP, Arellano, ML, Ozyazici, S, Costa, G, Tezcaner, T & Ansaloni, L 2017, 'IROA: International Register of Open Abdomen, preliminary results', World Journal of Emergency Surgery, vol. 12, no. 1, 10. https://doi.org/10.1186/s13017-017-0123-8
Coccolini F, Montori G, Ceresoli M, Catena F, Ivatury R, Sugrue M et al. IROA: International Register of Open Abdomen, preliminary results. World Journal of Emergency Surgery. 2017 Feb 21;12(1). 10. https://doi.org/10.1186/s13017-017-0123-8
Coccolini, Federico ; Montori, Giulia ; Ceresoli, Marco ; Catena, Fausto ; Ivatury, Rao ; Sugrue, Michael ; Sartelli, Massimo ; Fugazzola, Paola ; Corbella, Davide ; Salvetti, Francesco ; Negoi, Ionut ; Zese, Monica ; Occhionorelli, Savino ; Maccatrozzo, Stefano ; Shlyapnikov, Sergei ; Galatioto, Christian ; Chiarugi, Massimo ; Demetrashvili, Zaza ; Dondossola, Daniele ; Yovtchev, Yovcho ; Ioannidis, Orestis ; Novelli, Giuseppe ; Nacoti, Mirco ; Khor, Desmond ; Inaba, Kenji ; Demetriades, Demetrios ; Kaussen, Torsten ; Jusoh, Asri Che ; Ghannam, Wagih ; Sakakushev, Boris ; Guetta, Ohad ; Dogjani, Agron ; Costa, Stefano ; Singh, Sandeep ; Damaskos, Dimitrios ; Isik, Arda ; Yuan, Kuo Ching ; Trotta, Francesco ; Rausei, Stefano ; Martinez-Perez, Aleix ; Bellanova, Giovanni ; Fonseca, Vinicius Cordeiro ; Hernández, Fernando ; Marinis, Athanasios ; Fernandes, Wellington ; Quiodettis, Martha ; Bala, Miklosh ; Vereczkei, Andras ; Curado, Rafael L. ; Fraga, Gustavo Pereira ; Pereira, Bruno M. ; Gachabayov, Mahir ; Chagerben, Guillermo Perez ; Arellano, Miguel Leon ; Ozyazici, Sefa ; Costa, Gianluca ; Tezcaner, Tugan ; Ansaloni, Luca. / IROA : International Register of Open Abdomen, preliminary results. In: World Journal of Emergency Surgery. 2017 ; Vol. 12, No. 1.
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title = "IROA: International Register of Open Abdomen, preliminary results",
abstract = "Background: No definitive data about open abdomen (OA) epidemiology and outcomes exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) promoted the International Register of Open Abdomen (IROA). Methods: A prospective observational cohort study including patients with an OA treatment. Data were recorded on a web platform (Clinical Registers{\circledR}) through a dedicated website: www.clinicalregisters.org. Results: Four hundred two patients enrolled. Adult patients: 369 patients; Mean age: 57.39±18.37; 56{\%} male; Mean BMI: 36±5.6. OA indication: Peritonitis (48.7{\%}), Trauma (20.5{\%}), Vascular Emergencies/Hemorrhage (9.4{\%}), Ischemia (9.1{\%}), Pancreatitis (4.2{\%}),Post-operative abdominal-compartment-syndrome (3.9{\%}), Others (4.2{\%}). The most adopted Temporary-abdominal-closure systems were the commercial negative pressure ones (44.2{\%}). During OA 38{\%} of patients had complications; among them 10.5{\%} had fistula. Definitive closure: 82.8{\%}; Mortality during treatment: 17.2{\%}. Mean duration of OA: 5.39(±4.83) days; Mean number of dressing changes: 0.88(±0.88). After-closure complications: (49.5{\%}) and Mortality: (9{\%}). No significant associations among TACT, indications, mortality, complications and fistula. A linear correlationexists between days of OA and complications (Pearson linear correlation = 0.326 p<0.0001) and with the fistula development (Pearson = 0.146 p= 0.016). Pediatric patients: 33 patients. Mean age: 5.91±(3.68) years; 60{\%} male. Mortality: 3.4{\%}; Complications: 44.8{\%}; Fistula: 3.4{\%}. Mean duration of OA: 3.22(±3.09) days. Conclusion: Temporary abdominal closure is reliable and safe. The different techniques account for different results according to the different indications. In peritonitis commercial negative pressure temporary closure seems to improve results. In trauma skin-closure and Bogot{\`a}-bag seem to improve results. Trial registration: ClinicalTrials.gov NCT02382770",
keywords = "Barker, Bogot{\`a} bag, Commercial, Compartment, IROA, Ischemia, Negative pressure, Non-commercial, Open abdomen, Peritonitis, Register, Skin, Trauma, Vascular emergencies, Witmann",
author = "Federico Coccolini and Giulia Montori and Marco Ceresoli and Fausto Catena and Rao Ivatury and Michael Sugrue and Massimo Sartelli and Paola Fugazzola and Davide Corbella and Francesco Salvetti and Ionut Negoi and Monica Zese and Savino Occhionorelli and Stefano Maccatrozzo and Sergei Shlyapnikov and Christian Galatioto and Massimo Chiarugi and Zaza Demetrashvili and Daniele Dondossola and Yovcho Yovtchev and Orestis Ioannidis and Giuseppe Novelli and Mirco Nacoti and Desmond Khor and Kenji Inaba and Demetrios Demetriades and Torsten Kaussen and Jusoh, {Asri Che} and Wagih Ghannam and Boris Sakakushev and Ohad Guetta and Agron Dogjani and Stefano Costa and Sandeep Singh and Dimitrios Damaskos and Arda Isik and Yuan, {Kuo Ching} and Francesco Trotta and Stefano Rausei and Aleix Martinez-Perez and Giovanni Bellanova and Fonseca, {Vinicius Cordeiro} and Fernando Hern{\'a}ndez and Athanasios Marinis and Wellington Fernandes and Martha Quiodettis and Miklosh Bala and Andras Vereczkei and Curado, {Rafael L.} and Fraga, {Gustavo Pereira} and Pereira, {Bruno M.} and Mahir Gachabayov and Chagerben, {Guillermo Perez} and Arellano, {Miguel Leon} and Sefa Ozyazici and Gianluca Costa and Tugan Tezcaner and Luca Ansaloni",
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volume = "12",
journal = "World Journal of Emergency Surgery",
issn = "1749-7922",
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TY - JOUR

T1 - IROA

T2 - International Register of Open Abdomen, preliminary results

AU - Coccolini, Federico

AU - Montori, Giulia

AU - Ceresoli, Marco

AU - Catena, Fausto

AU - Ivatury, Rao

AU - Sugrue, Michael

AU - Sartelli, Massimo

AU - Fugazzola, Paola

AU - Corbella, Davide

AU - Salvetti, Francesco

AU - Negoi, Ionut

AU - Zese, Monica

AU - Occhionorelli, Savino

AU - Maccatrozzo, Stefano

AU - Shlyapnikov, Sergei

AU - Galatioto, Christian

AU - Chiarugi, Massimo

AU - Demetrashvili, Zaza

AU - Dondossola, Daniele

AU - Yovtchev, Yovcho

AU - Ioannidis, Orestis

AU - Novelli, Giuseppe

AU - Nacoti, Mirco

AU - Khor, Desmond

AU - Inaba, Kenji

AU - Demetriades, Demetrios

AU - Kaussen, Torsten

AU - Jusoh, Asri Che

AU - Ghannam, Wagih

AU - Sakakushev, Boris

AU - Guetta, Ohad

AU - Dogjani, Agron

AU - Costa, Stefano

AU - Singh, Sandeep

AU - Damaskos, Dimitrios

AU - Isik, Arda

AU - Yuan, Kuo Ching

AU - Trotta, Francesco

AU - Rausei, Stefano

AU - Martinez-Perez, Aleix

AU - Bellanova, Giovanni

AU - Fonseca, Vinicius Cordeiro

AU - Hernández, Fernando

AU - Marinis, Athanasios

AU - Fernandes, Wellington

AU - Quiodettis, Martha

AU - Bala, Miklosh

AU - Vereczkei, Andras

AU - Curado, Rafael L.

AU - Fraga, Gustavo Pereira

AU - Pereira, Bruno M.

AU - Gachabayov, Mahir

AU - Chagerben, Guillermo Perez

AU - Arellano, Miguel Leon

AU - Ozyazici, Sefa

AU - Costa, Gianluca

AU - Tezcaner, Tugan

AU - Ansaloni, Luca

PY - 2017/2/21

Y1 - 2017/2/21

N2 - Background: No definitive data about open abdomen (OA) epidemiology and outcomes exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) promoted the International Register of Open Abdomen (IROA). Methods: A prospective observational cohort study including patients with an OA treatment. Data were recorded on a web platform (Clinical Registers®) through a dedicated website: www.clinicalregisters.org. Results: Four hundred two patients enrolled. Adult patients: 369 patients; Mean age: 57.39±18.37; 56% male; Mean BMI: 36±5.6. OA indication: Peritonitis (48.7%), Trauma (20.5%), Vascular Emergencies/Hemorrhage (9.4%), Ischemia (9.1%), Pancreatitis (4.2%),Post-operative abdominal-compartment-syndrome (3.9%), Others (4.2%). The most adopted Temporary-abdominal-closure systems were the commercial negative pressure ones (44.2%). During OA 38% of patients had complications; among them 10.5% had fistula. Definitive closure: 82.8%; Mortality during treatment: 17.2%. Mean duration of OA: 5.39(±4.83) days; Mean number of dressing changes: 0.88(±0.88). After-closure complications: (49.5%) and Mortality: (9%). No significant associations among TACT, indications, mortality, complications and fistula. A linear correlationexists between days of OA and complications (Pearson linear correlation = 0.326 p<0.0001) and with the fistula development (Pearson = 0.146 p= 0.016). Pediatric patients: 33 patients. Mean age: 5.91±(3.68) years; 60% male. Mortality: 3.4%; Complications: 44.8%; Fistula: 3.4%. Mean duration of OA: 3.22(±3.09) days. Conclusion: Temporary abdominal closure is reliable and safe. The different techniques account for different results according to the different indications. In peritonitis commercial negative pressure temporary closure seems to improve results. In trauma skin-closure and Bogotà-bag seem to improve results. Trial registration: ClinicalTrials.gov NCT02382770

AB - Background: No definitive data about open abdomen (OA) epidemiology and outcomes exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) promoted the International Register of Open Abdomen (IROA). Methods: A prospective observational cohort study including patients with an OA treatment. Data were recorded on a web platform (Clinical Registers®) through a dedicated website: www.clinicalregisters.org. Results: Four hundred two patients enrolled. Adult patients: 369 patients; Mean age: 57.39±18.37; 56% male; Mean BMI: 36±5.6. OA indication: Peritonitis (48.7%), Trauma (20.5%), Vascular Emergencies/Hemorrhage (9.4%), Ischemia (9.1%), Pancreatitis (4.2%),Post-operative abdominal-compartment-syndrome (3.9%), Others (4.2%). The most adopted Temporary-abdominal-closure systems were the commercial negative pressure ones (44.2%). During OA 38% of patients had complications; among them 10.5% had fistula. Definitive closure: 82.8%; Mortality during treatment: 17.2%. Mean duration of OA: 5.39(±4.83) days; Mean number of dressing changes: 0.88(±0.88). After-closure complications: (49.5%) and Mortality: (9%). No significant associations among TACT, indications, mortality, complications and fistula. A linear correlationexists between days of OA and complications (Pearson linear correlation = 0.326 p<0.0001) and with the fistula development (Pearson = 0.146 p= 0.016). Pediatric patients: 33 patients. Mean age: 5.91±(3.68) years; 60% male. Mortality: 3.4%; Complications: 44.8%; Fistula: 3.4%. Mean duration of OA: 3.22(±3.09) days. Conclusion: Temporary abdominal closure is reliable and safe. The different techniques account for different results according to the different indications. In peritonitis commercial negative pressure temporary closure seems to improve results. In trauma skin-closure and Bogotà-bag seem to improve results. Trial registration: ClinicalTrials.gov NCT02382770

KW - Barker

KW - Bogotà bag

KW - Commercial

KW - Compartment

KW - IROA

KW - Ischemia

KW - Negative pressure

KW - Non-commercial

KW - Open abdomen

KW - Peritonitis

KW - Register

KW - Skin

KW - Trauma

KW - Vascular emergencies

KW - Witmann

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U2 - 10.1186/s13017-017-0123-8

DO - 10.1186/s13017-017-0123-8

M3 - Article

AN - SCOPUS:85013378494

VL - 12

JO - World Journal of Emergency Surgery

JF - World Journal of Emergency Surgery

SN - 1749-7922

IS - 1

M1 - 10

ER -