Nomogram developed to predict severe abdominal adhesions before surgery

A novel nomogram was developed to predict severe intra-abdominal adhesions prior to definitive surgery for anastomotic fistula post-small intestine resection. Analyzing data from 414 patients, five key predictors emerged: SOFA score, early-stage abdominal infection duration, preoperative albumin levels, fat area ratio, and preoperative C-reactive protein levels. The nomogram achieved a concordance index of 0.80 in internal validation, ensuring its robust performance and clinical utility, crucial for better surgical outcomes.