The excess morbidity and mortality of emergency general surgery

The Journal of Trauma and Acute Care Surgery
Joaquim M HavensAli Salim

Abstract

Emergency general surgery (EGS) carries a disproportionate burden of risk from medical errors, complications, and death compared with non-EGS (NEGS). Previous studies have been limited by patient and procedure heterogeneity but suggest worse outcome in EGS patients because of preoperative risk factors. The aim of this study was to quantify the excess burden of morbidity and mortality associated with EGS by controlling for patient-specific factors. We hypothesized that EGS is an independent risk factor for morbidity and mortality. We retrospectively analyzed data from the American College of Surgeons-National Surgical Quality Improvement Program. Fourteen procedures common to both EGS and NEGS from 2008 through 2012 were included. Patients were stratified based on emergency status. The primary outcome was death within 30 days of operation. Secondary outcomes were postoperative complications. Variables from the American College of Surgeons-National Surgical Quality Improvement Program preoperative risk assessment were analyzed. χ and Wilcoxon signed-rank tests were used to compare variables. Multivariate logistic regression was used to identify independent risk factors for mortality and complications. Of 66,665 patients, 24,068 w...Continue Reading

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Citations

Feb 27, 2016·Journal of the American College of Surgeons·John E ScarboroughCaprice C Greenberg
Jul 8, 2015·The Journal of Trauma and Acute Care Surgery·Fu Shan XueRui Ping Li
Apr 1, 2016·The Journal of Trauma and Acute Care Surgery·Naveen F SangjiHaytham M A Kaafarani
Sep 2, 2016·Journal of the Chinese Medical Association : JCMA·Yi-Hsuan HuYi-Szu Wen
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Dec 29, 2017·The Journal of Trauma and Acute Care Surgery·Gail T TominagaUNKNOWN AAST Patient Assessment Committee
Aug 25, 2017·The Journal of Trauma and Acute Care Surgery·Gui-Zhen YangFu-Shan Xue
Feb 2, 2018·The Journal of Trauma and Acute Care Surgery·Ambar MehtaJoseph V Sakran
Mar 15, 2018·The Journal of Trauma and Acute Care Surgery·Matthew C HernandezMarie Crandall
Feb 3, 2018·World Journal of Surgery·Moustafa YounisMartin D Zielinski
May 23, 2018·The Journal of Trauma and Acute Care Surgery·Thomas PeponisMarc A de Moya
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Oct 10, 2018·Surgical Infections·Adrian A Coleoglou CentenoObeid N Ilahi
Feb 3, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jeppe MeyerJesper Eugen-Olsen
Jan 4, 2019·The Journal of Trauma and Acute Care Surgery·Nicole LunardiJoseph V Sakran
Jan 12, 2019·The Journal of Trauma and Acute Care Surgery·Lyndsey E WesselsMichael J Sise
Apr 6, 2019·Surgical Infections·Viktor GabrielSebastian D Schubl
Apr 3, 2019·The Journal of Trauma and Acute Care Surgery·David D KeevenAndrew C Bernard
Apr 3, 2018·Annals of Surgery·Angela M IngrahamHeena P Santry
Jan 8, 2019·Annals of Surgery·Joaquim M HavensLena M Napolitano
Apr 9, 2019·The Journal of Trauma and Acute Care Surgery·Aditya AchantaHaytham M A Kaafarani
Jun 25, 2019·The Journal of Trauma and Acute Care Surgery·Alexandra BriggsRaquel M Forsythe
Feb 11, 2020·The Journal of Trauma and Acute Care Surgery·Cheryl K ZoggKimberly A Davis
Jun 28, 2019·Trauma Surgery & Acute Care Open·Heena SantryMarie Crandall
Mar 11, 2020·Trauma Surgery & Acute Care Open·Andrew MedveczDaniel Davenport
Apr 20, 2017·The Journal of Trauma and Acute Care Surgery·Anirudh R NandanHaytham M A Kaafarani
Dec 19, 2017·The Journal of Trauma and Acute Care Surgery·John W ScottJoaquim M Havens
May 13, 2020·Anaesthesia·L C JordanC J Peden
Apr 7, 2020·The Journal of Trauma and Acute Care Surgery·Natawat NarueponjirakulHaytham M A Kaafarani
Jul 4, 2020·European Journal of Anaesthesiology·Ellen BjerrumSarah Ekeloef
Apr 26, 2020·The Journal of Trauma and Acute Care Surgery·Kamil HannaBellal Joseph
Aug 15, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Samer T ElsamnaAziz M Merchant

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