Risk stratification tools in emergency general surgery

Trauma Surgery & Acute Care Open
Joaquim Michael HavensMarie Crandall

Abstract

The use of risk stratification tools (RST) aids in clinical triage, decision making and quality assessment in a wide variety of medical fields. Although emergency general surgery (EGS) is characterized by a comorbid, physiologically acute patient population with disparately high rates of perioperative morbidity and mortality, few RST have been explicitly examined in this setting. We examined the available RST with the intent of identifying a tool that comprehensively reflects an EGS patients perioperative risk for death or complication. The ideal tool would combine individualized assessment with relative ease of use. Trauma Scoring Systems, Critical Care Scoring Systems, Surgical Scoring Systems and Track and Trigger Models are reviewed here, with the conclusion that Emergency Surgery Acuity Score and the American College of Surgeons National Surgical Quality Improvement Programme Universal Surgical Risk Calculator are the most applicable and appropriate for EGS.

Associated Clinical Trials

Citations

Oct 12, 2018·Current Opinion in Critical Care·Somnath Bose, Daniel Talmor
Jun 25, 2019·The Journal of Trauma and Acute Care Surgery·Alexandra BriggsRaquel M Forsythe
Jun 28, 2019·Trauma Surgery & Acute Care Open·Heena SantryMarie Crandall
Oct 31, 2019·Anesthesiology Research and Practice·Sirirat TribuddharatPavit Sappayanon
Dec 18, 2020·The Journal of Trauma and Acute Care Surgery·Kevin M SchusterMarie Crandall
Jan 25, 2021·American Journal of Surgery·Paul D RozeboomRobert A Meguid
Aug 17, 2021·The Surgery Journal·Abdourahmane NdongIbrahima Konaté

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Software Mentioned

Universal Surgical Risk Calculator
SAS
PESAS
ESAS
POSSUM

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