Investigation of the relationship between the diameter of dilatation detected in computed tomography imaging and the length of hospital stay and 30-day mortality in adult patients diagnosed with ileus in the emergency department

Objective: Ileus is a significant cause of morbidity and mortality. This study investigates the impact of computed tomography (CT) diameter on hospital stay duration and 30-day mortality. Materials and Methods: The study utilized data from the Hospital Information Management System, conducting a 4-year retrospective review. Patient records that did not meet inclusion criteria were excluded using Microsoft Excel. Statistical analysis was performed on 283 admissions using SPSS 28.0. Results: Adhesions were identified as the most common etiological factor, with conservative treatment being the most frequently used method. The average hospital stay was 8.8 days. Patients receiving both conservative and surgical treatment had significantly longer hospital stays compared to those undergoing only surgical treatment. CT diameter was significantly higher in patients receiving both conservative and surgical treatments compared to those receiving only surgical treatment. Patients who underwent surgical treatment had a higher complication rate (p<0,001). The 30-day mortality rate was 9.2%, while the 90-day mortality rate doubled to 18%. There was a positive correlation between hospital stay duration, CT diameter, and age. Additionally, a positive correlation was found between CRP and both lactate and WBC levels. Conclusion: CT and laboratory findings in patients presenting with ileus in the emergency department significantly affect prognosis and hospital stay duration. These findings highlight the importance of CT diameter and laboratory parameters in treatment planning. They can guide clinical decision-making, improve patient outcomes, and potentially reduce hospital stay durations and associated costs.