Observational studyCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2017
Association of delay of urgent or emergency surgery with mortality and use of health care resources: a propensity score-matched observational cohort study.
Observational study in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 2 of them syntheses 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.
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Who cites it
62 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Quantification of emergency operating theatre process performance: a systematic review of clinical studies.British journal of anaesthesia · 2026Pooled it
- Time is of the essence when treating necrotizing soft tissue infections: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2020Pooled it
- Assessing Surgical Capacity in Guam: Current Strengths and Future Goals.International journal of environmental research and public health · 2026Article
- Severe necrotizing soft tissue infections (SENSEI) study: Protocol for a multi-centered audit.JPRAS open · 2026Article
- Association between preoperative functional status and timing of surgery in tuberculous destroyed lung patients.Journal of cardiothoracic surgery · 2026Article
- Article
- Can weather patterns predict orthopaedic trauma volume: a retrospective review at a level 1 trauma center in the Northeast.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Impact of anticoagulation therapy on surgical timing, hospital stay, and postoperative outcomes in proximal femur fracture patients.Acta orthopaedica et traumatologica turcica · 2025Article
- Comparing Machine Learning and Nurse Predictions for Hospital Admissions in a Multisite Emergency Care System.Mayo Clinic proceedings. Digital health · 2025Article
- Code Not-So-Blue: Burden and Predictors of Non-urgent Visits to the Surgical Emergency Room in Peshawar, Pakistan.Cureus · 2025Article
- Accountability frameworks: A critical evolution in healthcare.Healthcare management forum · 2025Article
- Consequences of delaying non-urgent surgeries during COVID-19: a population-based retrospective cohort study in Alberta, Canada.BMJ open · 2024Article
- Association between Time to Emergent Surgery and Outcomes in Trauma Patients: A 10-Year Multicenter Study.Medicina (Kaunas, Lithuania) · 2024Article
- Appendicitis Hospitalization Care Costs Among Patients With Delayed Diagnosis of Appendicitis.JAMA network open · 2024Article
- Early vs Late Fixation of Extremity Fractures Among Adults With Traumatic Brain Injury.JAMA network open · 2024Article
- Clinical Course and Management of Patients with Emergency Surgery Treated with Direct Oral Anticoagulants or Vitamin K Antagonists-Results of the German Prospective RADOA-Registry.Journal of clinical medicine · 2024Article
- Delayed access to essential surgical care in Uganda: A tertiary multi-center study.Surgery in practice and science · 2023Article
- Association of Organizational Pathways With the Delay of Emergency Surgery.JAMA network open · 2023Article
- Implementing Bundle Care in Major Abdominal Emergency Surgery: Long-Term Mortality and Comprehensive Complication Index.World journal of surgery · 2023Article
- Clinical Impact of a Quality Improvement Program Including Dedicated Emergency Radiology Personnel on Emergency Surgical Management: A Propensity Score-Matching Study.Korean journal of radiology · 2022Article
2 more citing papers are in PubMed but not listed here.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelay of surgery for hip fracture is associated with increased risk of morbidity and mortality, but the effects of surgical delays on mortality and resource use in the context of other emergency surgeries is poorly described. Our objective was to measure the independent association between delay of emergency surgery and in-hospital mortality, length of stay and costs.
methodsWe identified all adult patients who underwent emergency noncardiac surgery between January 2012 and October 2014 at a single tertiary care centre. Delay of surgery was defined as the time from surgical booking to operating room entry exceeding institutionally defined acceptable wait times, based on a standardized 5-level priority system that accounted for surgery type and indication. Patients with delayed surgery were matched to those without delay using propensity scores derived from variables that accounted for details of admission and the hospital stay, patient characteristics, physiologic instability, and surgical urgency and risk.
resultsOf 15 160 patients, 2820 (18.6%) experienced a delay. The mortality rates were 4.9% (138/2820) for those with delay and 3.2% (391/12 340) for those without delay (odds ratio [OR] 1.59, 95% confidence interval [CI] 1.30-1.93). Within the propensity-matched cohort, delay was significantly associated with mortality (OR 1.56, 95% CI 1.18-2.06), increased length of stay (incident rate ratio 1.07, 95% CI 1.01-1.11) and higher total costs (incident rate ratio 1.06, 95% CI 1.01-1.11).
interpretationDelayed operating room access for emergency surgery was associated with increased risk of inhospital mortality, longer length of stay and higher costs. System issues appeared to underlie most delays and must be addressed to improve the outcomes of emergency surgery.
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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.