Factors affecting morbidity in emergency general surgery

Felix Akinbami, Reza Askari, Jill Steinberg, Maria Panizales, Selwyn O. Rogers

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Background: Emergency status adversely affects surgical outcomes. Predictors of increased morbidity of emergency general surgery are unknown. We determined predictors of postoperative complications of emergency general surgery. Methods: We conducted a retrospective study of Brigham and Women's Hospital American College of Surgeons National Surgical Quality Improvement Program patients who had an emergency general surgery procedure from January 1, 2007, to December 31, 2009. Additional nonAmerican College of Surgeons National Surgical Quality Improvement Program variables were collected. Our primary outcome was postoperative complications within 30 days. Results: Of 819 cases, 24.7% had 1 or more complications, with 8.9% mortality within 30 days. Common complications were respiratory (47%) and wound occurrences (18%). Age, sex, blood glucose level, creatinine level, albumin level, surgery duration, and smoking were independent predictors of morbidity. Conclusions: Emergency general surgery patients with postoperative complications are likely to be older, male, smokers, have increased blood glucose and creatinine levels, lower albumin levels, and longer surgical times. Fluid resuscitation and experienced surgical teams are putative targets to improve outcomes.

Original languageEnglish (US)
Pages (from-to)456-462
Number of pages7
JournalAmerican Journal of Surgery
Volume201
Issue number4
DOIs
StatePublished - Apr 2011
Externally publishedYes

Fingerprint

Emergencies
Morbidity
Quality Improvement
Blood Glucose
Albumins
Creatinine
Operative Time
Resuscitation
Retrospective Studies
Smoking
Mortality
Wounds and Injuries

Keywords

  • Emergency
  • General surgery
  • Outcomes
  • Postoperative complications

ASJC Scopus subject areas

  • Surgery

Cite this

Akinbami, F., Askari, R., Steinberg, J., Panizales, M., & Rogers, S. O. (2011). Factors affecting morbidity in emergency general surgery. American Journal of Surgery, 201(4), 456-462. https://doi.org/10.1016/j.amjsurg.2010.11.007

Factors affecting morbidity in emergency general surgery. / Akinbami, Felix; Askari, Reza; Steinberg, Jill; Panizales, Maria; Rogers, Selwyn O.

In: American Journal of Surgery, Vol. 201, No. 4, 04.2011, p. 456-462.

Research output: Contribution to journalArticle

Akinbami, F, Askari, R, Steinberg, J, Panizales, M & Rogers, SO 2011, 'Factors affecting morbidity in emergency general surgery', American Journal of Surgery, vol. 201, no. 4, pp. 456-462. https://doi.org/10.1016/j.amjsurg.2010.11.007
Akinbami F, Askari R, Steinberg J, Panizales M, Rogers SO. Factors affecting morbidity in emergency general surgery. American Journal of Surgery. 2011 Apr;201(4):456-462. https://doi.org/10.1016/j.amjsurg.2010.11.007
Akinbami, Felix ; Askari, Reza ; Steinberg, Jill ; Panizales, Maria ; Rogers, Selwyn O. / Factors affecting morbidity in emergency general surgery. In: American Journal of Surgery. 2011 ; Vol. 201, No. 4. pp. 456-462.
@article{38bf520402464f4fb9fc72dffad0768b,
title = "Factors affecting morbidity in emergency general surgery",
abstract = "Background: Emergency status adversely affects surgical outcomes. Predictors of increased morbidity of emergency general surgery are unknown. We determined predictors of postoperative complications of emergency general surgery. Methods: We conducted a retrospective study of Brigham and Women's Hospital American College of Surgeons National Surgical Quality Improvement Program patients who had an emergency general surgery procedure from January 1, 2007, to December 31, 2009. Additional nonAmerican College of Surgeons National Surgical Quality Improvement Program variables were collected. Our primary outcome was postoperative complications within 30 days. Results: Of 819 cases, 24.7{\%} had 1 or more complications, with 8.9{\%} mortality within 30 days. Common complications were respiratory (47{\%}) and wound occurrences (18{\%}). Age, sex, blood glucose level, creatinine level, albumin level, surgery duration, and smoking were independent predictors of morbidity. Conclusions: Emergency general surgery patients with postoperative complications are likely to be older, male, smokers, have increased blood glucose and creatinine levels, lower albumin levels, and longer surgical times. Fluid resuscitation and experienced surgical teams are putative targets to improve outcomes.",
keywords = "Emergency, General surgery, Outcomes, Postoperative complications",
author = "Felix Akinbami and Reza Askari and Jill Steinberg and Maria Panizales and Rogers, {Selwyn O.}",
year = "2011",
month = "4",
doi = "10.1016/j.amjsurg.2010.11.007",
language = "English (US)",
volume = "201",
pages = "456--462",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Factors affecting morbidity in emergency general surgery

AU - Akinbami, Felix

AU - Askari, Reza

AU - Steinberg, Jill

AU - Panizales, Maria

AU - Rogers, Selwyn O.

PY - 2011/4

Y1 - 2011/4

N2 - Background: Emergency status adversely affects surgical outcomes. Predictors of increased morbidity of emergency general surgery are unknown. We determined predictors of postoperative complications of emergency general surgery. Methods: We conducted a retrospective study of Brigham and Women's Hospital American College of Surgeons National Surgical Quality Improvement Program patients who had an emergency general surgery procedure from January 1, 2007, to December 31, 2009. Additional nonAmerican College of Surgeons National Surgical Quality Improvement Program variables were collected. Our primary outcome was postoperative complications within 30 days. Results: Of 819 cases, 24.7% had 1 or more complications, with 8.9% mortality within 30 days. Common complications were respiratory (47%) and wound occurrences (18%). Age, sex, blood glucose level, creatinine level, albumin level, surgery duration, and smoking were independent predictors of morbidity. Conclusions: Emergency general surgery patients with postoperative complications are likely to be older, male, smokers, have increased blood glucose and creatinine levels, lower albumin levels, and longer surgical times. Fluid resuscitation and experienced surgical teams are putative targets to improve outcomes.

AB - Background: Emergency status adversely affects surgical outcomes. Predictors of increased morbidity of emergency general surgery are unknown. We determined predictors of postoperative complications of emergency general surgery. Methods: We conducted a retrospective study of Brigham and Women's Hospital American College of Surgeons National Surgical Quality Improvement Program patients who had an emergency general surgery procedure from January 1, 2007, to December 31, 2009. Additional nonAmerican College of Surgeons National Surgical Quality Improvement Program variables were collected. Our primary outcome was postoperative complications within 30 days. Results: Of 819 cases, 24.7% had 1 or more complications, with 8.9% mortality within 30 days. Common complications were respiratory (47%) and wound occurrences (18%). Age, sex, blood glucose level, creatinine level, albumin level, surgery duration, and smoking were independent predictors of morbidity. Conclusions: Emergency general surgery patients with postoperative complications are likely to be older, male, smokers, have increased blood glucose and creatinine levels, lower albumin levels, and longer surgical times. Fluid resuscitation and experienced surgical teams are putative targets to improve outcomes.

KW - Emergency

KW - General surgery

KW - Outcomes

KW - Postoperative complications

UR - http://www.scopus.com/inward/record.url?scp=79952934516&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952934516&partnerID=8YFLogxK

U2 - 10.1016/j.amjsurg.2010.11.007

DO - 10.1016/j.amjsurg.2010.11.007

M3 - Article

VL - 201

SP - 456

EP - 462

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 4

ER -