Glasgow prognostic score is a predictive index for postoperative infectious complications after total proctocolectomy in ulcerative colitis patients

Rev Esp Enferm Dig. 2021 Jun;113(6):418-422. doi: 10.17235/reed.2020.7047/2020.

Abstract

Background and aim: Glasgow prognostic score is a systemic inflammatory-based score. The aim of this study was to determine whether the Glasgow prognostic score was a useful predictor of short-term outcomes in patients who undergo total proctocolectomy for ulcerative colitis.

Methods: eighty ulcerative colitis patients who underwent a total proctocolectomy with ileal pouch-anal anastomosis or permanent end ileostomy from June 2014 to March 2020 were retrospectively analyzed. Patients were divided into a lower Glasgow prognostic score group and a higher Glasgow prognostic score group.

Results: postoperative infectious complication occurred more frequently in the higher Glasgow prognostic score group (8.3 % vs 29.5 %, p = 0.018). According to the univariate and multivariate analysis, only a higher Glasgow prognostic score was associated with an increased risk of postoperative infectious complication (OR: 5.478, 95 % CI: 1.236-24.279).

Conclusion: Glasgow prognostic score is a simple and useful indicator of postoperative infectious complications.

MeSH terms

  • Colitis, Ulcerative* / surgery
  • Colonic Pouches*
  • Humans
  • Ileostomy
  • Postoperative Complications / diagnosis
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Proctocolectomy, Restorative* / adverse effects
  • Prognosis
  • Retrospective Studies