Acute care surgery: defining mortality in emergency general surgery in the state of Maryland

Journal of the American College of Surgeons
Mayur NarayanJose J Diaz

Abstract

Emergency general surgery (EGS) is a major component of acute care surgery, however, limited data exist on mortality with respect to trauma center (TC) designation. We hypothesized that mortality would be lower for EGS patients treated at a TC vs non-TC (NTC). A retrospective review of the Maryland Health Services Cost Review Commission database from 2009 to 2013 was performed. The American Association for the Surgery of Trauma EGS ICD-9 codes were used to identify EGS patients. Data collected included demographics, TC designation, emergency department admissions, and All Patients Refined Severity of Illness (APR_SOI). Trauma center designation was used as a marker of a formal acute care surgery program. Primary outcomes included in-hospital mortality. Multivariable logistic regression analysis was performed controlling for age. There were 817,942 EGS encounters. Mean ± SD age of patients was 60.1 ± 18.7 years, 46.5% were males; 71.1% of encounters were at NTCs; and 75.8% were emergency department admissions. Overall mortality was 4.05%. Mortality was calculated based on TC designation controlling for age across APR_SOI strata. Multivariable logistic regression analysis did not show statistically significant differences in mort...Continue Reading

References

Sep 30, 2005·Annals of Surgery·Demetrios DemetriadesLinda Chan
Jun 28, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Robert C Mackersie
Sep 26, 2006·Annals of Surgery·Angela S EarleyC W Schwab
Oct 30, 2007·Journal of the American College of Surgeons·John MaaHobart W Harris
Nov 17, 2007·American Journal of Surgery·Adella M GarlandJohn P Sherck
Feb 21, 2009·Journal of the American College of Surgeons·Barbara HaasAvery B Nathens
Oct 6, 2009·Journal of the American College of Surgeons·Rebecca C BrittL D Britt
Apr 28, 2010·Journal of the American College of Surgeons·Rebecca C BrittL D Britt
Jul 14, 2010·The Journal of Trauma·Ellen J MacKenzieDavid S Salkever
Sep 15, 2010·The Journal of Trauma·Ernest F J BlockBruce Behn
Jan 11, 2011·The Journal of Trauma·Jose J DiazJohn A Morris
Aug 10, 2011·The Journal of Trauma·Jose J DiazJohn A Morris
Sep 16, 2011·JAMA : the Journal of the American Medical Association·John A Kastor, Eli Y Adashi
Dec 1, 2012·Journal of the American College of Surgeons·Levi ProcterJoseph B Zwischenberger
Mar 21, 2013·The Journal of Trauma and Acute Care Surgery·Shahid ShafiUNKNOWN AAST Committee on Severity Assessment and Patient Outcomes
Jan 29, 2014·Journal of the American College of Surgeons·UNKNOWN Task Force for Children's Surgical Care

❮ Previous
Next ❯

Citations

Mar 29, 2016·Journal of the American College of Surgeons·Mayur NarayanJose J Diaz
Dec 23, 2017·The Journal of Trauma and Acute Care Surgery·Matthew C HernandezMartin D Zielinski
Apr 28, 2020·The Journal of the American Osteopathic Association·Ann E HwalekJoseph Posluszny
Jul 6, 2019·The Journal of Surgical Research·Margaret H LauermanJose J Diaz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.