Key result
Emergency general surgery was independently associated with a higher risk of 30-day mortality compared to non-emergency surgery (12.50% vs 2.66%; adjusted OR 1.39, p=0.029).
Why the study?
Does emergency general surgery increase the risk of death and postoperative complications compared to non-emergency general surgery?
Population
66,665 patients undergoing 14 procedures common to both emergency and non-emergency general surgery from…
Comparison
Emergency general surgery (EGS) (n=24,068) vs Non-emergency general surgery (NEGS) (n=42,597)
Design
Cohort
Follow-up
30 days
Authors
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May warrant heightened perioperative vigilance in emergency cases; extends prior risk models but leaves causality and mitigation open.
Cohort (n=66,665)
Yes
Does emergency general surgery increase the risk of death and postoperative complications compared to non-emergency general surgery?
Odds Ratio: 1.39
Absolute Event Rate: 12.5% vs 2.66%
p-value: p=0.029
Emergency general surgery is an independent risk factor for 30-day mortality and major complications, even after adjusting for preoperative risk factors and procedure type.
Havens et al. (2015) conducted a cohort in General surgery (n=66,665). Emergency general surgery vs. Non-emergency general surgery was evaluated on Death within 30 days of operation (OR 1.39, p=0.029). Emergency general surgery was independently associated with a higher risk of 30-day mortality compared to non-emergency surgery (12.50% vs 2.66%; adjusted OR 1.39, p=0.029).
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