Key result
Greater availability of intensive care beds (20.8 vs 14.0 per 1000 beds; P=0.017) and institutional use of CT (P<0.001) independently predicted reduced 30-day mortality in high-risk emergency surgery.
Why the study?
Does greater hospital resource availability (ICU beds, CT use) reduce 30-day mortality in high-risk emergency general surgery admissions?
Population
367,796 adults admitted to 145 English NHS Trusts with high-risk emergency general surgery diagnoses between…
Comparison
Admission to hospitals with greater resource… vs Admission to hospitals with lower resource…
Design
Cohort
Follow-up
30-day
Authors
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Supports resource planning in emergency surgery; leaves open whether expanding ICU/CT availability causally improves outcomes.
Observational (n=367,796)
Yes
Does greater hospital resource availability (ICU beds, CT use) reduce 30-day mortality in high-risk emergency general surgery admissions?
Greater availability of intensive care beds and imaging resources is associated with reduced 30-day mortality in high-risk emergency general surgery patients.
Symons et al. (2013) conducted an observational in High-risk emergency general surgery (n=367,796). Hospital resource availability (intensive care beds, CT, ultrasonography) vs. Low resource availability was evaluated on 30-day in-hospital mortality. Greater availability of intensive care beds (20.8 vs 14.0 per 1000 beds; P=0.017) and institutional use of CT (P<0.001) independently predicted reduced 30-day mortality in high-risk emergency surgery.
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