Can the Emergency Surgery Score (ESS) predict outcomes in emergency general surgery patients with missing data elements? A nationwide analysis
作者: Leon NaarMajed El HechiNikolaos KokoroskosJonathan ParksJason FawleyApril E. MendozaNoelle SaillantGeorge C. VelmahosHaytham M.A. Kaafarani
作者单位: 1Division of Trauma, Emergency Surgery & Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA
刊名: The American Journal of Surgery, 2020
来源数据库: Elsevier Journal
DOI: 10.1016/j.amjsurg.2020.02.034
关键词: Emergency surgery scorePostoperative morbidityPostoperative mortalityEmergency general surgeryQuality improvement
英文摘要: Abstract(#br)Background(#br)The Emergency Surgery Score (ESS) is an accurate mortality risk calculator for emergency general surgery (EGS). We sought to assess whether ESS can accurately predict 30-day morbidity, mortality, and requirement for postoperative Intensive Care Unit (ICU) care in patients with missing data variables.(#br)Methods(#br)All EGS patients with one or more missing ESS variables in the 2007–2015 ACS-NSQIP database were included. ESS was calculated assuming that a missing variable is normal (i.e. no additional ESS points). The correlation between ESS and morbidity, mortality, and postoperative ICU level of care was assessed using the c-statistics methodology.(#br)Results(#br)Out of a total of 4,456,809 patients, 359,849 were EGS, and of those 256,278 (71.2%) patients...
全文获取路径: Elsevier  (合作)
影响因子:2.516 (2012)

  • general 普遍的
  • ESS Electronic Switching System
  • elements 初步
  • emergency 非常时期
  • nationwide 全国
  • missing 失去的
  • analysis 分析
  • predict 预见
  • surgery 外科