Key result
Intracranial lesions are linked to an over ~6-fold increase in emergency reoperations.
Why the study?
Emergency reoperation is considered a quality indicator in surgery, but the perioperative risk factors for emergency reoperations were not fully analyzed.
What are the perioperative risk factors for emergency reoperations in patients undergoing emergency surgery?
Observational (n=1,481)
No
What are the perioperative risk factors for emergency reoperations in patients undergoing emergency surgery?
Hemodynamic instability, anemia, prolonged surgery duration, and specific surgical sites are key risk factors for emergency reoperations.
Certain perioperative factors were associated with reoperation risk; hypothesis-generating for targeted prevention trials in emergency surgery.
BACKGROUND: Emergency reoperation is considered to be a quality indicator in surgery. We analyzed the risk factors for emergency reoperations. METHODS: Patients who underwent emergency operations from January 1, 2017, to December 31, 2017, at our hospital were reviewed in this retrospective study. Multivariate logistic regression was performed for the perioperative risk factors for emergency reoperation. RESULTS: A total of 1,481 patients underwent emergency operations during the study period. Among them, 79 patients received emergency reoperations. The variables related to emergency reoperation included surgeries involving intracranial and intraoral lesions, highest mean arterial pressure ≥ 110 mmHg, highest heart rate ≥ 100 beats/min, anemia, duration of operation >120 min, and arrival from the intensive care unit (ICU). CONCLUSIONS: The type of surgery, hemodynamics, hemoglobin values, the duration of surgery, and arrival from ICU were associated with emergency reoperations.
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Kim et al. (2020) conducted an observational in Emergency operations (n=1,481). Intracranial lesions vs. Other operative lesions was evaluated on Emergency reoperation within 60 days (OR 6.32, 95% CI 2.41-16.58, p=<0.001). Intracranial lesions (OR 6.32), intraoral lesions (OR 28.37), highest heart rate ≥ 100 beats/min (OR 2.87), anemia, and ICU arrival were significantly associated with emergency reoperations.
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