Effectiveness of the car index as an early predictor of anastomotic dehiscence in patients undergoing emergency gastrointestinal anastomosis
DOI:
https://doi.org/10.56294/nds2025151Keywords:
Anastomotic Leakage, Serum Biomarks, Gastrointestinal SurgeryAbstract
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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