Why the study?
Decisions not to operate in emergency general surgery involve uncertainty because they are based on assumptions and imperfect tools.
Does a decision not to operate affect 30-day mortality in acutely unwell, high-risk general surgery patients compared to those who have surgery?
Does a decision not to operate affect 30-day mortality in acutely unwell, high-risk general surgery patients compared to those who have surgery?
In high-risk emergency general surgery patients, conservative management is associated with significantly higher 30-day mortality (76.2%) compared to operative management (18.6%), reflecting appropriate patient selection based on poorer functional status and predicted risks.
Accuracy of non-operative decisions in high-risk emergency surgery remains uncertain; leaves open need for validated decision-support tools.
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Pinto-Lopes et al. (2019) studied this question.
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