| Title: |
Comparison of major abdominal emergency surgery outcomes across organizational models of emergency surgical care: Analysis of the UK NELA national database |
| Authors: |
Anand, Easan; Rahman, Saqib A; Tomlinson, Christopher; Mercer, Stuart J; Pucher, Philip H |
| Source: |
Journal of Trauma and Acute Care Surgery , 96 (2) pp. 305-312. (2024) |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2024 |
| Collection: |
University College London: UCL Discovery |
| Subject Terms: |
NELA; Laparotomy; Emergency General Surgery; Acute Care Surgery |
| Description: |
BACKGROUND: Emergency general surgery (EGS) admissions account for a large proportion of surgical care and represent the majority of surgical patients who suffer in-hospital mortality. Health care systems continue to experience growing demand for emergency services: one way in which this is being increasingly addressed is dedicated subspecialty teams for emergency surgical admissions, most commonly termed “emergency general surgery” in the United Kingdom. This study aims to understand the impact of the emergency general surgery model of care on outcomes from emergency laparotomies. METHODS: Data was obtained from the National Emergency Laparotomy Audit database. Patients were dichotomized into EGS hospital or non-EGS hospital. Emergency general surgery hospital is defined as a hospital where >50% of in-hours emergency laparotomy operating is performed by an emergency general surgeon. The primary outcome was in-hospital mortality. Secondary outcomes were intensive therapy unit (ITU) length of stay and duration of hospital stay. A propensity score weighting approach was used to reduce confounding and selection bias. RESULTS: There were 115,509 patients from 175 hospitals included in the final analysis. The EGS hospital care group included 5,789 patients versus 109,720 patients in the non-EGS group. Following propensity score weighting, mean standardized mean difference reduced from 0.055 to |
| Document Type: |
article in journal/newspaper |
| File Description: |
text |
| Language: |
English |
| Relation: |
https://discovery.ucl.ac.uk/id/eprint/10172883/1/_Comparison_of_major_abdominal_emergency_surgery.439.pdf; https://discovery.ucl.ac.uk/id/eprint/10172883/ |
| Availability: |
https://discovery.ucl.ac.uk/id/eprint/10172883/1/_Comparison_of_major_abdominal_emergency_surgery.439.pdf; https://discovery.ucl.ac.uk/id/eprint/10172883/ |
| Rights: |
open |
| Accession Number: |
edsbas.D26BFA9F |
| Database: |
BASE |