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Twenty-year study of in-hospital and postdischarge mortality following emergency general surgical admission.


ABSTRACT:

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

Among 1?450?296 patients, the overall inpatient, 30-day, 90-day and 1-year mortality rates were 1·8, 3·8, 6·4 and 12·5 per cent respectively. Mortality was influenced by age at admission, co-morbidity, operation performed and date of admission (all P?P?ConclusionMortality 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.

SUBMITTER: Ramsay G 

PROVIDER: S-EPMC6773630 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Publications

Twenty-year study of in-hospital and postdischarge mortality following emergency general surgical admission.

Ramsay G G   Wohlgemut J M JM   Jansen J O JO  

BJS open 20190709 5


<h4>Background</h4>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.<h4>Methods</h4>This was a cross-sectional study of all adult EGS admissions in Scotland between 1996 and 2015. Data were ob  ...[more]

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