作者
Justin S Hatchimonji, Robert A Swendiman, Elinore J Kaufman, Dane Scantling, Jesse E Passman, Wei Yang, M Kit Delgado, Daniel N Holena
发表日期
2020/7
来源
The American Surgeon
卷号
86
期号
7
页码范围
787-795
出版商
SAGE Publications
简介
Background
While the use of the failure-to-rescue (FTR) metric, or death after complication, has expanded beyond elective surgery to emergency general surgery (EGS), little is known about the trajectories patients take from index complication to death.
Methods
We conducted a retrospective cohort study of EGS operations using the National Surgical Quality Improvement Project (NSQIP) dataset, 2011-2017. 16 major complications were categorized as infectious, respiratory, thrombotic, cardiac, renal, neurologic, or technical. We tabulated common combinations of complications. We then use logistic regression analyses to test the hypotheses that (1) increase in the number and frequency of complications would yield higher FTR rates and (2) secondary complications that span a greater number of organ systems or mechanisms carry a greater associated FTR risk.
Results
Of 329 183 EGS patients, 69 832 (21.2 …
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