Effectiveness of the car index as an early predictor of anastomotic dehiscence in patients undergoing emergency gastrointestinal anastomosis

The general objective is to evaluate the effectiveness of the CAR index as an early predictor of anastomotic dehiscence in patients undergoing emergency gastrointestinal anastomosis Materials and Methods A total of 38 patients submitted to gastrointestinal anastomosis were chosen for this study, under the modality of a descriptive, prospective and longitudinal clinical-epidemiological research. The results of the 38 patients, only 4 developed anastomotic dehiscence with an incidence of 10.53% (4/38), diagnosed most frequently on the 7th postoperative day, with a CAR efficiency of 30.77%, with a sensitivity of 100%, specificity 73.53%, a positive predictive value of 30.77% and a negative predictive value of 100%. In conclusion, that CAR favors early prediction of anastomotic dehiscence given its high percentage of sensitivity; however, it is worthwhile to continue this line of research considering a much larger sample size.

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Publication Details

Journal
Nursing Depths Series
Published
2025-07-04
DOI
https://doi.org/10.56294/nds2025151
Primary Topic
Colorectal Cancer Surgical Treatments
Type
article
Field-Weighted Citation Impact
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article

Effectiveness of the car index as an early predictor of anastomotic dehiscence in patients undergoing emergency gastrointestinal anastomosis

Luis Corona Silva, María Victoria Méndez, Helena Blanco, Ariana Gámez López et al.
Nursing Depths Series
Colorectal Cancer Surgical Treatments
article

Effectiveness of the car index as an early predictor of anastomotic dehiscence in patients undergoing emergency gastrointestinal anastomosis

Luis Corona Silva, María Victoria Méndez, Helena Blanco, Ariana Gámez López, Alejandro Martínez
article en

Abstract

The general objective is to evaluate the effectiveness of the CAR index as an early predictor of anastomotic dehiscence in patients undergoing emergency gastrointestinal anastomosis Materials and Methods A total of 38 patients submitted to gastrointestinal anastomosis were chosen for this study, under the modality of a descriptive, prospective and longitudinal clinical-epidemiological research. The results of the 38 patients, only 4 developed anastomotic dehiscence with an incidence of 10.53% (4/38), diagnosed most frequently on the 7th postoperative day, with a CAR efficiency of 30.77%, with a sensitivity of 100%, specificity 73.53%, a positive predictive value of 30.77% and a negative predictive value of 100%. In conclusion, that CAR favors early prediction of anastomotic dehiscence given its high percentage of sensitivity; however, it is worthwhile to continue this line of research considering a much larger sample size.

Nursing Depths SeriesVol. 4
Universidad de Carabobo (VE)
Openalex Percentile: Top 75%
Colorectal Cancer Surgical Treatments
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