ArticleThe journal of trauma and acute care surgery2017
Surgical rescue: The next pillar of acute care surgery.
Article in The journal of trauma and acute care surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Expanding the field of acute care surgery: a systematic review of the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in cases of morbidly adherent placenta.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2018Pooled it
- Electronic Health Record Workflows in Acute Care Surgery: Ethnographic Study.JMIR medical informatics · 2026Article
- Predictors of failure to rescue in surgical rescue.Langenbeck's archives of surgery · 2026Article
- Propensity score matching analysis of acute care (ACS) versus colorectal surgeons (CRS) in the management of left colonic perforation: Patient and system-level insights from a multicenter study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Annual report on National Clinical Database 2021 for gastroenterological surgery in Japan.Annals of gastroenterological surgery · 2025Article
- Failure to rescue following emergency general surgery: A national analysis.Surgery open science · 2024Article
- European society for trauma and emergency surgery member-identified research priorities in emergency surgery: a roadmap for future clinical research opportunities.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- The importance and benefits of defining full-time equivalence in the field of acute care surgery.Trauma surgery & acute care open · 2024Article
- More problems, more money: Identifying and predicting high-cost rescue after colorectal surgery.Surgery open science · 2023Article
- Ligation or Occlusion of the Internal Iliac Arteries for the Treatment of Placenta Accreta Spectrum: Why Is This Technique Still Performed?Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2023Article
- Clinical significance of acute care surgery system as a part of hospital medical emergency team for hospitalized patients.Annals of surgical treatment and research · 2023Article
- Accuracy of Risk Estimation for Surgeons Versus Risk Calculators in Emergency General Surgery.The Journal of surgical research · 2022Article
- Antimicrobial Challenge in Acute Care Surgery.Antibiotics (Basel, Switzerland) · 2022Review
- Personalized Medicine in Acute Care Surgery: Are We Ready to Deal with Our Failures?Journal of personalized medicine · 2022Article
- Failure to Rescue (FTR) and Pitfalls in the Management of Complex Enteric Fistulas (CEF): From Rescue Surgery to Rescue Strategy.Journal of personalized medicine · 2022Article
- The Successful Implementation of a Trauma and Acute Care Surgery Model in Ecuador.World journal of surgery · 2020Article
- Resuscitative endovascular balloon occlusion of the aorta deployed by acute care surgeons in patients with morbidly adherent placenta: a feasible solution for two lives in peril.World journal of emergency surgery : WJES · 2018Review
- Surgical Rescue in a High-volume Urban Emergency General Surgery Service at a Middle-income Country.Panamerican journal of trauma, critical care & emergency surgeryArticle
Corrections and comments
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Authors and funding
19 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe evolving field of acute care surgery (ACS) traditionally includes trauma, emergency general surgery, and critical care. However, the critical role of ACS in the rescue of patients with a surgical complication has not been explored. We here describe the role of "surgical rescue" in the practice of ACS.
methodsA prospective, electronic medical record-based ACS registry spanning January 2013 to May 2014 at a large urban academic medical center was screened by ICD-9 codes for acute surgical complications of an operative or interventional procedure. Long-term outcomes were derived from the Social Security Death Index.
resultsOf 2,410 ACS patients, 320 (13%) required "surgical rescue": most commonly, from wound complications (32%), uncontrolled sepsis (19%), and acute obstruction (15%). The majority of complications (85%) were related to an operation; 15% were related to interventional procedures. The most common rescue interventions required were bowel resection (23%), wound debridement (18%), and source control of infection (17%); 63% of patients required operative intervention, and 22% required surgical critical care. Thirty-six percent of complications occurred in ACS primary patients ("local"), whereas 38% were referred from another surgical service ("institutional") and 26% referred from another institution ("regional"). Hospital length of stay was longer, and in-hospital and 1-year mortalities were higher in rescue patients compared with those without a complication. Outcomes were equivalent between "local" and "institutional" patients, but hospital length of stay and discharge to home were significantly worse in "institutional" referrals.
conclusionWe here describe the distinct role of the acute care surgeon in the surgical management of complications; this is an additional pillar of ACS. In this vital role, the acute care surgeon provides crucial support to other providers as well as direct patient care in the "surgical rescue" of surgical and procedural complications. LEVEL OF EVIDENCE: Epidemiological study, level III; therapeutic/care management study, level IV.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.