دورية أكاديمية
أعرض في EDS

A National Evaluation of Emergency General Surgery Outcomes Among Hospitalized Cardiac Patients.

التفاصيل البيبلوغرافية
العنوان: A National Evaluation of Emergency General Surgery Outcomes Among Hospitalized Cardiac Patients.
المؤلفون: Tennakoon L; Department of Surgery, Section of Trauma and Acute Care Surgery, Stanford University School of Medicine, Stanford, California., Hakes NA; Department of Surgery, Section of Trauma and Acute Care Surgery, Stanford University School of Medicine, Stanford, California., Nassar AK; Department of Surgery, Section of Trauma and Acute Care Surgery, Stanford University School of Medicine, Stanford, California., Spain DA; Department of Surgery, Section of Trauma and Acute Care Surgery, Stanford University School of Medicine, Stanford, California., Knowlton LM; Department of Surgery, Section of Trauma and Acute Care Surgery, Stanford University School of Medicine, Stanford, California. Electronic address: drlmk@stanford.edu.
المصدر: The Journal of surgical research [J Surg Res] 2023 Mar; Vol. 283, pp. 24-32. Date of Electronic Publication: 2022 Nov 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Academic Press Country of Publication: United States NLM ID: 0376340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1095-8673 (Electronic) Linking ISSN: 00224804 NLM ISO Abbreviation: J Surg Res Subsets: MEDLINE
أسماء مطبوعة: Publication: New York, NY : Academic Press
Original Publication: Philadelphia [etc.]
مواضيع طبية MeSH: Heart Diseases* , General Surgery*, Adult ; Humans ; Length of Stay ; Retrospective Studies ; Hospitalization ; Patient Discharge
مستخلص: Introduction: Emergency general surgery among cardiac surgery patients is increasingly common and consequential. We sought to characterize the true burden of emergency general surgery among hospitalized complex cardiac patients.
Methods: We performed a retrospective analysis of the 2016-2017 National Inpatient Sample. We included adult patients with a primary diagnosis of complex cardiac disease. We then compared patients who underwent emergency general surgery (GS-OR) with those who did not (non-GS-OR). The primary outcome was mortality; secondary outcomes included length of stay and hospitalization costs.
Results: We identified 10.2 million patients with a primary diagnosis of complex cardiac disease, of which 148,309 (1.4%) underwent GS-OR. Mortality rates were significantly higher in the GS-OR group (11.0% versus 5.0%, P < 0.001). Among all cardiac patients, GS-OR was associated with 2.2 times increased odds of death (aOR: 2.2, P < 0.001). GS-OR patients also had longer length of stays (14.1 versus 5.8 d, P < 0.001). Among all cardiac patients, GS-OR was associated with an 8.1-day longer length of stay (P < 0.001). GS-OR patients were less often routinely discharged home (31.7% versus 45.3%, P < 0.001) and incurred higher inpatient costs ($46,136 versus $16,303, P < 0.001). Among all cardiac patients, GS-OR patients incurred $30,102 higher hospitalization costs (P < 0.001).
Conclusions: Emergency general surgery among cardiac surgery patients is associated with a greater than two-fold increase in mortality, longer length of stays, higher rates of nonroutine discharge, and higher hospitalization costs. Emergency general surgery complications account for 4.0% of total inpatient costs of cardiac surgery patients and merit further study.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Cardiac surgery; Complex cardiac disease; Emergency general surgery; Emergency general surgery outcomes; Emergency general surgery sequelae
تواريخ الأحداث: Date Created: 20221111 Date Completed: 20230125 Latest Revision: 20230201
رمز التحديث: 20231215
DOI: 10.1016/j.jss.2022.10.016
PMID: 36368272
قاعدة البيانات: MEDLINE
الوصف
تدمد:1095-8673
DOI:10.1016/j.jss.2022.10.016