ArticleThe journal of trauma and acute care surgery2014
A composite index for predicting readmission following emergency general surgery.
Article in The journal of trauma and acute care surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02470728 (Pain Management Options for Opioid Tolerant Patients), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Pain Management Options for Opioid Tolerant Patients: a Randomized Controlled Trial
Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Ability to predict surgical outcomes by surgical Apgar score: a systematic review.BMC surgery · 2023Pooled it
- Short and long-term readmission after major emergency abdominal surgery: a prospective Danish study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Sociocultural and Demographic Factors Predict Readmissions for General Surgery Patients.World journal of surgery · 2023Article
- Clinical and financial impact of chronic kidney disease in emergency general surgery operations.Surgery open science · 2022Article
- Association of the Risk of a Venous Thromboembolic Event in Emergency vs Elective General Surgery.JAMA surgery · 2020Article
- Treatment of Acute Cholecystitis: Do Medicaid and Non-Medicaid Enrolled Patients Receive the Same Care?Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Complete Impact of Care Fragmentation on Readmissions Following Urgent Abdominal Operations.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Validation of the Surgical Apgar Score After Laparotomy at a Tertiary Referral Hospital in Rwanda.World journal of surgery · 2017Article
- 30-Day readmission after bariatric surgery in a publicly funded regionalized center of excellence system.Surgical endoscopy · 2016Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPreventable readmission has become a national focus. It is clear that surgical patients present specific challenges to those interested in preventing readmission. Little is known about this outcome in the emergent population. We are interested in determining if there are readily available data variables to predict risk of readmission. The surgical Apgar score (SAS) is calculated from objective intraoperative variables and has been shown to be predictive of postoperative mortality in the nonemergent setting. The objectives of this study were to characterize 30-day readmissions in emergent general surgery and to determine whether certain variables were associated with readmissions. We hypothesized that the SAS correlates with the risk for readmission in emergency general surgery patients. PATIENTS AND
methodsVariables of interest were obtained from a retrospective analysis of the American College of Surgeons' National Surgical Quality Improvement Program database at an academic institution, paired with the electronic medical record. We identified adult general surgery patients who underwent an emergency procedure from 2006 to 2012. Univariate analysis identified factors associated with 30-day readmission. Factors with p < 0.1 were included in the multivariate analysis to reveal potential risk factors. SPSS version 20 was used for the statistical analysis, with p < 0.05 considered to be significant on multivariate analysis.
resultsAs compared with nonemergency surgery patients, emergency surgery patients had a higher readmission rate (11.1% vs. 15.2%, p = 0.004). The SAS (odds ratio, 3.297; 95% confidence interval, 1.074-10.121; p = 0.037) and the combined variable of the American Society of Anesthesiologists Physical Status Classification and length of stay (odds ratio, 4.370; 95% confidence interval, 2.251-8.486; p < 0.001) were associated with elevated risk for readmission in emergency general surgery patients.
conclusionWe have identified readily available measures that allow for the stratification of patients into low- and high-risk groups for 30-day readmission. The stratification of patients will enable the study of prospective interventions designed to decrease unplanned readmissions in emergency surgery patients. LEVEL OF EVIDENCE: Prognostic study, level II.
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