Key result
Postoperative bleeding is linked to ~11% of 30-day mortality in emergency general surgery patients.
Population
79,183 patients from the 2012-2013 ACS-NSQIP database who underwent an emergency general surgery procedure
Design
Cohort
Follow-up
30-day
Authors
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Bleeding and pneumonia warrant prioritized prevention in EGS; supports targeted quality initiatives but leaves open whether they improve outcomes.
Observational (n=79,183)
Yes
Effect estimate: adjusted PAF 10.7% (95% CI 8.2%-13.1%)
p-value: p=< 0.001
Bleeding and pneumonia are the postoperative complications with the greatest impact on 30-day mortality and end-organ dysfunction in emergency general surgery, representing high-value targets for quality improvement.
Scarborough et al. (2016) conducted an observational in Emergency general surgery (n=79,183). Postoperative bleeding vs. No bleeding was evaluated on 30-day mortality (adjusted PAF 10.7%, 95% CI 8.2%-13.1%, p=< 0.001). Postoperative bleeding had the greatest impact on 30-day mortality in emergency general surgery patients, with an adjusted population attributable fraction of 10.7% (95% CI 8.2-13.1%; p<0.001).
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