What question did this study set out to answer?

To identify predictors of mortality and define high-risk patient subgroups undergoing non-elective general and orthopaedic surgical procedures.

March 1, 2006Annals of The Royal College of Surgeons of EnglandOpen Access

Identifying High-Risk Patients Undergoing Urgent and Emergency Surgery

View Full Paper

Ask AI

Bookmark

Why the study?

What are the risk factors for mortality in patients undergoing urgent and emergency non-elective orthopaedic and general surgery?

Key Points

To identify predictors of mortality and define high-risk patient subgroups undergoing non-elective general and orthopaedic surgical procedures.
Conducted a retrospective cohort study of N=1869 patients undergoing urgent or emergency general and orthopaedic surgery during a 1-year interval at a single district general hospital.
Identified 30-day and 1-year mortality outcomes via hospital databases and case-note reviews, assessing risk factors using univariate and multivariate analysis.
Overall mortality was 89/1869 (5%) at 30 days and 216/1869 (12%) at 1 year, with elevated postoperative death rates persisting for approximately 100 days.
Multivariate analysis identified increasing age (P < 0.0001), operation size (P = 0.004), and higher American Society of Anesthesiologists (ASA) fitness grade (P < 0.0001) as significant independent predictors of 1-year mortality.
A high-risk subgroup of 273 patients aged over 50 years with an ASA grade of III or higher undergoing major surgery exhibited a 30-day mortality rate of 18%.

Structured PICO

What are the risk factors for mortality in patients undergoing urgent and emergency non-elective orthopaedic and general surgery?

Population

1,869 patients undergoing urgent or emergency non-elective general and orthopaedic surgical procedures in a 1-year interval (calendar year 2000) in a district general hospital.

Outcome

Mortality at 30 days and 1 yearhard clinical

Increasing age, size of operation, and ASA fitness grade are significant predictors of 1-year mortality in patients undergoing urgent or emergency non-elective surgery.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Age, operation size, and ASA grade may aid risk stratification in emergency surgery; leaves open whether targeted interventions improve 1-year survival.

Cite This Study

Neary et al. (2006) studied this question.

synapsesocial.com/papers/6a70ef25a528af2d65c3d260 https://doi.org/10.1308/003588406x94896

View Full Paper

Ask AI

Bookmark

Implication

Age, operation size, and ASA grade may aid risk stratification in emergency surgery; leaves open whether targeted interventions improve 1-year survival.

Identifying High-Risk Patients Undergoing Urgent and Emergency Surgery

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Identifying High-Risk Patients Undergoing Urgent and Emergency Surgery

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider