Key result
Aggressive procedural and surgical management contributed to a statistically significant reduction in mortality from gastropericardial fistula, decreasing from 69% pre-2000 to 11% post-2000.
Why the study?
Does aggressive procedural and surgical management reduce mortality in patients with gastropericardial fistula compared to conservative management?
Case Report (n=65)
Does aggressive procedural and surgical management reduce mortality in patients with gastropericardial fistula compared to conservative management?
Absolute Event Rate: 11% vs 69%
Aggressive operative management of gastropericardial fistula is associated with a significant reduction in mortality compared to conservative approaches.
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May support aggressive management in gastropericardial fistula; hypothesis-generating from Level 5 evidence and needs prospective validation.
Vian Azzu (2016) conducted a case report in Gastropericardial fistula (n=65). Operative and aggressive procedural management vs. Conservative management (pre-2000 era) was evaluated on Mortality. Aggressive procedural and surgical management contributed to a statistically significant reduction in mortality from gastropericardial fistula, decreasing from 69% pre-2000 to 11% post-2000.
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