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

• Corona Silva , Luis ^[1] ; Gámez López , Ariana ^[1] ; Martínez , Alejandro ^[1] ; Blanco, Hidarmi ^[1] ; Mendez, María Victoria ^[1]
  1. [1] Universidad de Carabobo

     Universidad de Carabobo

     Venezuela

     
• Localización: Nursing Depths Series, ISSN-e 3072-8118, Nº. 4, 2025 (Ejemplar dedicado a: Nursing Depths Series)
• Idioma: inglés
• DOI: 10.56294/nds2025151
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• Resumen

  • 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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