Key result
Emergency general surgery was independently associated with increased mortality (OR 1.39) compared to non-emergency general surgery, even after adjusting for patient-specific preoperative characteristics.
Why the study?
Previous work on emergency general surgery was restricted by patient and procedure variability, leaving it unclear whether worse prognosis persists after adjusting for case-explicit variables.
Does emergency general surgery increase mortality and morbidity compared to non-emergency general surgery in patients undergoing shared surgical procedures?
Comparison
Emergency general surgery (EGS) vs non-emergency general surgery (NEGS)
Design
Retrospective database study
Authors
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EGS mortality risk persists after adjustment; leaves open need for prospective trials before practice change.
Cohort (n=69,670)
Yes
Does emergency general surgery increase mortality and morbidity compared to non-emergency general surgery in patients undergoing shared surgical procedures?
Odds Ratio: 1.39
Absolute Event Rate: 13.52% vs 3.67%
p-value: p=0.028
Emergency general surgery is independently associated with increased mortality and major complications compared to non-emergency surgery, even after adjusting for preoperative patient characteristics.
Aslam et al. (2022) conducted a cohort in General Surgery (n=69,670). Emergency general surgery vs. Non-emergency general surgery was evaluated on 30-day mortality (OR 1.39, p=0.028). Emergency general surgery was independently associated with increased mortality (OR 1.39) compared to non-emergency general surgery, even after adjusting for patient-specific preoperative characteristics.
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