Why the study?
Most failure-to-rescue research in colorectal surgery has focused on elective surgery and anastomotic dehiscence, leaving major complications and risk factors across elective versus emergency settings less characterized.
Does emergency index colorectal surgery increase failure-to-rescue rates compared to elective index surgery in patients requiring reoperation for complications?
Population
862 adult patients undergoing reoperation for colorectal surgery complications across 10 hospitals
Comparison
Reoperation after elective vs emergency colorectal surgery
Design
Population-based retrospective multicenter cohort study
Follow-up
90 days
Authors
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Emergency colorectal surgery linked to higher reoperation rates and failure-to-rescue; leaves open whether system-level interventions can narrow this gap.
Does emergency index colorectal surgery increase failure-to-rescue rates compared to elective index surgery in patients requiring reoperation for complications?
Major complications requiring reoperation occur more frequently and have a >3-fold higher failure-to-rescue rate after emergency colorectal surgery compared to elective surgery.
Grönroos-Korhonen et al. (2022) studied this question.
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