Comparison of hospital performance in nonemergency versus emergency colorectal operations at 142 hospitals

Journal of the American College of Surgeons
Angela M IngrahamClifford Y Ko

Abstract

Quality improvement efforts have demonstrated considerable hospital-to-hospital variation in surgical outcomes. However, information about the quality of emergency surgical care is lacking. The objective of this study was to assess whether hospitals have comparable outcomes for emergency and nonemergency operations. Patients undergoing colorectal resections were identified from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) 2005 to 2007 dataset. Logistic regression models for 30-day morbidity and mortality after emergency and nonemergency colorectal resections were constructed. Hospital risk-adjusted outcomes as measured by observed to expected (O/E) ratios, outlier status, and rank-order differences were compared. Of 25,710 nonemergency colorectal resections performed at 142 ACS NSQIP hospitals, 6,138 (23.9%) patients experienced at least 1 complication, and 492 (1.9%) patients died. There were 5,083 emergency colorectal resections; 2,442 (48%) patients experienced at least 1 complication, and 780 (15.3%) patients died. Outcomes for nonemergency versus emergency operations were weakly correlated for morbidity and mortality (Pearson correlation coefficient: 0.28 versus 0.13). Median d...Continue Reading

References

Dec 1, 1994·The Annals of Thoracic Surgery·S W DziubanR H Dal Col
Jul 2, 2003·Annals of Surgery·Julie A MargenthalerShukri F Khuri
Mar 4, 2005·Journal of the American Geriatrics Society·Mary Beth HamelJennifer Daley
Nov 18, 2005·Surgery·Shukri F Khuri
Mar 23, 2006·Annals of Surgery·Julie A MargenthalerShukri F Khuri
Sep 26, 2006·Annals of Surgery·Angela S EarleyC W Schwab
Jun 5, 2007·Journal of the American College of Surgeons·Shukri F KhuriUNKNOWN Principal Site Investigators of the Patient Safety in Surgery Study
Jun 5, 2007·Journal of the American College of Surgeons·Katherine S RowellWilliam G Henderson
Oct 29, 2008·Journal of the American College of Surgeons·Peter L SchillingJohn D Birkmeyer

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Citations

May 10, 2011·Diseases of the Colon and Rectum·Sekhar DharmarajanMatthew G Mutch
Feb 1, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Sebastien DroletW Donald Buie
May 22, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rocco RicciardiDavid J Schoetz
Dec 10, 2013·Diseases of the Colon and Rectum·Deborah NagleVitaliy Poylin
Mar 20, 2012·Diseases of the Colon and Rectum·Marcia McGory RussellRocco Ricciardi
Oct 18, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Marco CataniClaudio Modini
Aug 6, 2011·The Journal of Trauma·Kevin M SchusterKimberly A Davis
Oct 7, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R RicciardiD J Schoetz
Jul 16, 2011·Annals of Surgical Oncology·Michael C SullivanJulie A Sosa
Aug 8, 2012·Journal of Anaesthesiology, Clinical Pharmacology·Santosh PatelSujesh Bansal
Jan 11, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Rocco RicciardiPeter W Marcello
Jan 15, 2014·Journal of Palliative Medicine·Robert E RosesY Nancy You
Mar 8, 2012·Annals of Surgical Oncology·Gea A GooikerGerrit-Jan Liefers
Jul 17, 2014·Journal of the American College of Surgeons·Zaid M AbdelsattarSandra L Wong
Mar 28, 2016·Journal of the American College of Surgeons·Julia R BerianKarl Y Bilimoria
Mar 9, 2012·Journal of the American College of Surgeons·Adrian T BilleterSusan Galandiuk
Sep 29, 2011·Journal of the American College of Surgeons·Scott E RegenbogenRocco Ricciardi
Dec 28, 2010·Journal of the American College of Surgeons·Angela M IngrahamAvery B Nathens
Jul 20, 2010·American Journal of Surgery·Hiram C PolkSusan Galandiuk
Jul 27, 2010·The Journal of Surgical Research·Amanda V Hayman, David J Bentrem
Oct 22, 2011·American Journal of Surgery·Laura J MooreFrederick A Moore
Sep 16, 2015·Journal of the American College of Surgeons·Abhishek ChatterjeeCarla Fisher
Dec 3, 2014·The Journal of Surgical Research·Monisha SudarshanKosar A Khwaja
Apr 15, 2015·The Journal of Infection·Takashi TagamiHideo Yasunaga
Jan 24, 2012·Gynecologic Oncology·William ClibyRobert Bristow
Dec 30, 2014·The Journal of Surgical Research·Kevin R KastenRocco Ricciardi
Jul 10, 2016·Journal of Surgical Oncology·Ian W Folkert, Robert E Roses
Nov 6, 2015·British Journal of Anaesthesia·C M OliverS R Moonesinghe
Oct 27, 2016·Anesthesia and Analgesia·Mirjana CihoricNicolai Bang Foss
Apr 1, 2011·Annals of Surgery·Daniel N HolenaRachel R Kelz
Feb 3, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jeppe MeyerJesper Eugen-Olsen
Jan 5, 2016·Annals of Surgery·Joseph A HyderJoaquim M Havens
Apr 24, 2013·The Journal of Trauma and Acute Care Surgery·Jason P FarrahNathan T Mowery
Apr 20, 2017·The Journal of Trauma and Acute Care Surgery·Anirudh R NandanHaytham M A Kaafarani
Dec 29, 2012·The Journal of Trauma and Acute Care Surgery·John A MorrisUNKNOWN American Association for the Surgery of Trauma's EGS Research
Dec 14, 2012·Digestive Surgery·N E KolfschotenUNKNOWN Dutch Surgical Colorectal Audit group

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