Evaluating the association between American Association for the Surgery of Trauma emergency general surgery anatomic severity grades and clinical outcomes using national claims data.

The Journal of Trauma and Acute Care Surgery
John W ScottGarth H Utter

Abstract

Emergency general surgery (EGS) encompasses a heterogeneous population of acutely ill patients, and standardized methods for determining disease severity are essential for comparative effectiveness research and quality improvement initiatives. The American Association for the Surgery of Trauma (AAST) has developed a grading system for the anatomic severity of 16 EGS conditions; however, little is known regarding how well these AAST EGS grades can be approximated by diagnosis codes in administrative databases. We identified adults admitted for 16 common EGS conditions in the 2012 to 2017q3 National Inpatient Sample. Disease severity strata were assigned using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) diagnosis codes based on AAST EGS anatomic severity grades. We evaluated whether assigned EGS severity (multiple strata or dichotomized into less versus more complex) were associated with in-hospital mortality, complications, length of stay, discharge disposition, and costs. Analyses were adjusted for age, sex, comorbidities, hospital traits, geography, and year. We identified 10,886,822 EG...Continue Reading

References

Mar 21, 2013·The Journal of Trauma and Acute Care Surgery·Shahid ShafiUNKNOWN AAST Committee on Severity Assessment and Patient Outcomes
Feb 21, 2014·The Journal of Trauma and Acute Care Surgery·Shahid ShafiUNKNOWN American Association for the Surgery of Trauma Committee on Patient Assessment and Outcomes
Dec 11, 2014·The Journal of Trauma and Acute Care Surgery·Marie L CrandallUNKNOWN American Association for the Surgery of TraumaCommittee on Patient Assessment and Outcomes
Feb 25, 2015·The Journal of Trauma and Acute Care Surgery·Adil Aijaz ShahDavid T Efron
Apr 19, 2015·The Journal of Surgical Research·Stephanie A SavageUNKNOWN AAST Patient Assessment Committee
Jun 4, 2016·The Journal of Trauma and Acute Care Surgery·Gail T TominagaUNKNOWN American Association for the Surgery of Trauma Committee on Patient Assessment
May 26, 2017·The Journal of Trauma and Acute Care Surgery·Garth H UtterMarie L Crandall
Dec 23, 2017·The Journal of Trauma and Acute Care Surgery·Matthew C HernandezMartin D Zielinski
Dec 23, 2017·The Journal of Trauma and Acute Care Surgery·Kenneth VeraKimberly A Davis
Jan 18, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Moustafa YounisMartin D Zielinski
Feb 3, 2018·Journal of the American College of Surgeons·Courtney M CollinsAndrew C Bernard
May 18, 2018·World Journal of Surgery·Matthew C HernandezMartin D Zielinski
May 26, 2018·The Journal of Trauma and Acute Care Surgery·Mohamed D Ray-ZackMartin D Zielinski
Jun 17, 2018·The Journal of Surgical Research·Brittany L MurphyMartin D Zielinski
Aug 8, 2018·Surgery·Matthew C HernandezDamian L Clarke
Jan 3, 2019·The Journal of Trauma and Acute Care Surgery·Stephanie A SavageMarie Crandall
May 28, 2020·The Journal of Trauma and Acute Care Surgery·Charles A MouchMark R Hemmila

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