- Preoperative C-reactive protein, hemoglobin, and albumin together predict increased risk for postoperative complications after bowel resection in Crohn’s disease.
Why this matters
- 1 in 2 patients with Crohn’s disease will need surgery at a decade after the diagnosis, and the complication rate remains high.
- Factors that predict risk could guide surgical management.
- 30% overall had postoperative complications.
- 13.92% had 2 abnormal values, and 2.53% had 3.
- This group had a 30.77% rate of postoperative septic-related complications vs 10.6% among those with 1 or no abnormal values (P<.0001>
- 79 patients (55 women; median age, 38 [range, 28-49] years) were included, categorized based on number of abnormal values (0-4).
- Patients were considered to be at high risk with at least 2 abnormal values of the 3 factors.
- Funding: None disclosed.
- All surgeries were planned.
- None were for recurrent Crohn’s, which carries a higher complication risk.