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{{Mesenteric ischemia}} | {{Mesenteric ischemia}} | ||
{{CMG}} {{AE}} {{FT}} | {{CMG}} {{AE}} {{FT}} | ||
== Overview == | |||
==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
===Incidence=== | ===Incidence=== |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]
Overview
Epidemiology and Demographics
Incidence
- The incidence rate of mesenteric ischemia secondary to superior mesentric artery occlusion is 8.6/100 000/year. 70% of SMA occlusion is caused by embolism and 30% by thrombosis.[1][2][3][4][5][6][7][8]
- The annual incidence of mesenteric ischemia is approximately 5.5% per 100,000 individuals.
- The incidence due to non occlusive mesentric ischemia is 2/100,000 persons and 1.8/100,000 per person due to mesenteric venous thrombosis.
- In United States, between 1995-2010 incidence of mesenteric ischemia declined from 8.4 to 6.7% per 100,000 individuals.
- Between 1970 and 1982, in the population of Sweden the incidence of mesenteric ischemia was estimated to be 12.9 cases per 100,000 individuals.
Prevalence
- The prevalence of mesenteric ischemia:[9]
- Occlusive mesenteric ischemia due to mesenteric venous thrombosis is approximately per 100,000 individuals worldwide.
- Non-occlusive mesenteric ischemia is approximately 6000 per 100,000 individuals worldwide.
- In [year], the incidence/prevalence of [disease name] was estimated to be [number range] cases per 100,000 individuals worldwide.
- The prevalence of [disease/malignancy] is estimated to be [number] cases annually.
Case-fatality rate/Mortality rate
- In 2017, the incidence of mesenteric ischemia is approximately 90-200 per 100,000 of all the surgical admissions with a mortality rate of 50%.[10]
Age
- The incidence of mesenteric ischemia increases with age; the median age at diagnosis is 70 years.[11]
- Mesentric ischemia commonly affects individuals older than 60 years of age, a few cases are reported in their 20s. Younger age group having risk factors such as atrial fibrillation or other hypercoaguable states such as protein C and S deficiency are also predisposed to the risk.
Race
- There is no racial predilection to mesenteric ischemia.
- Mesenteric ischemia usually affects individuals of the African american race because of their higher predilection towards developing atherosclerosis.
Gender
- Mesenteric ischemia affects men and women equally.
Region
- The majority of mesenteric ischemia cases are reported in Sweden.
References
- ↑ Acosta S, Ogren M, Sternby NH, Bergqvist D, Björck M (2004). "Incidence of acute thrombo-embolic occlusion of the superior mesenteric artery--a population-based study". Eur J Vasc Endovasc Surg. 27 (2): 145–50. doi:10.1016/j.ejvs.2003.11.003. PMID 14718895.
- ↑ Acosta S (2010). "Epidemiology of mesenteric vascular disease: clinical implications". Semin Vasc Surg. 23 (1): 4–8. doi:10.1053/j.semvascsurg.2009.12.001. PMID 20298944.
- ↑ Jrvinen O, Laurikka J, Salenius JP, Tarkka M (1994). "Acute intestinal ischaemia. A review of 214 cases". Ann Chir Gynaecol. 83 (1): 22–5. PMID 8053632.
- ↑ Acosta, S.; Ögren, M.; Sternby, N.-H.; Bergqvist, D.; Björck, M. (2004). "Incidence of Acute Thrombo-Embolic Occlusion of the Superior Mesenteric Artery—A Population-based Study". European Journal of Vascular and Endovascular Surgery. 27 (2): 145–150. doi:10.1016/j.ejvs.2003.11.003. ISSN 1078-5884.
- ↑ Acosta S, Ogren M, Sternby NH, Bergqvist D, Björck M (2006). "Fatal nonocclusive mesenteric ischaemia: population-based incidence and risk factors". J Intern Med. 259 (3): 305–13. doi:10.1111/j.1365-2796.2006.01613.x. PMID 16476108.
- ↑ Acosta S (2010). "Epidemiology of mesenteric vascular disease: clinical implications". Semin Vasc Surg. 23 (1): 4–8. doi:10.1053/j.semvascsurg.2009.12.001. PMID 20298944 : 20298944 Check
|pmid=
value (help). - ↑ Acosta S, Alhadad A, Svensson P, Ekberg O (2008). "Epidemiology, risk and prognostic factors in mesenteric venous thrombosis". Br J Surg. 95 (10): 1245–51. doi:10.1002/bjs.6319. PMID 18720461.
- ↑ Kärkkäinen, Jussi M.; Acosta, Stefan (2017). "Acute mesenteric ischemia (part I) – Incidence, etiologies, and how to improve early diagnosis". Best Practice & Research Clinical Gastroenterology. 31 (1): 15–25. doi:10.1016/j.bpg.2016.10.018. ISSN 1521-6918.
- ↑ Kärkkäinen JM, Acosta S (2017). "Acute mesenteric ischemia (part I) - Incidence, etiologies, and how to improve early diagnosis". Best Pract Res Clin Gastroenterol. 31 (1): 15–25. doi:10.1016/j.bpg.2016.10.018. PMID 28395784.
- ↑ Bala M, Kashuk J, Moore EE, Kluger Y, Biffl W, Gomes CA; et al. (2017). "Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery". World J Emerg Surg. 12: 38. doi:10.1186/s13017-017-0150-5. PMC 5545843. PMID 28794797.
- ↑ Huang, Hsien-Hao; Chang, Yu-Che; Yen, David Hung-Tsang; Kao, Wei-Fong; Chen, Jen-Dar; Wang, Lee-Min; Huang, Chun-I; Lee, Chen-Hsen (2005). "Clinical Factors and Outcomes in Patients with Acute Mesenteric Ischemia in the Emergency Department". Journal of the Chinese Medical Association. 68 (7): 299–306. doi:10.1016/S1726-4901(09)70165-0. ISSN 1726-4901.