Mortality after emergency general surgery in Scotland has reduced significantly over a 20-year period (P<0.001), although postdischarge death rates remain strikingly high.
Cross-Sectional
Yes
While mortality after emergency general surgery has significantly decreased over 20 years, postdischarge death rates remain higher than currently appreciated.
p-value: p=<0.001
Background: Emergency general surgery (EGS) patients have a higher mortality than those having elective surgery. Few studies have investigated changes in EGS-associated mortality over time or explored mortality rates after discharge. The aim of this study was to conduct a comprehensive, population-based analysis of mortality in EGS patients over a 20-year time frame. Methods: This was a cross-sectional study of all adult EGS admissions in Scotland between 1996 and 2015. Data were obtained from national records. Co-morbidities were defined by Charlson Co-morbidity Index, and operations were coded by OPCS-4 classifications. Linear and multivariable logistic regression models were used to evaluate changes over time. Results: < 0·001). Conclusion: Mortality after EGS in Scotland has reduced significantly over the past 20 years. This analysis of medium-term mortality after EGS admission demonstrates strikingly high rates, and postdischarge death rates are higher than is currently appreciated.
Ramsay et al. (Tue,) conducted a cross-sectional in Emergency general surgery. Emergency general surgery was evaluated on Mortality (in-hospital and postdischarge) (p=<0.001). Mortality after emergency general surgery in Scotland has reduced significantly over a 20-year period (P<0.001), although postdischarge death rates remain strikingly high.