Evidence map›Paper›PMID 29766138›Full record

ReviewTrauma surgery & acute care open2018

Risk stratification tools in emergency general surgery.

Joaquim Michael Havens, Alexandra B Columbus, Anupamaa J Seshadri, Carlos V R Brown, Gail T Tominaga, Nathan T Mowery, Marie Crandall

Registry-linked trialAbstract readReview
In one paragraph

Review in Trauma surgery & acute care open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04211532 (Evaluation of the ACS-NSQIP Risk Calculator for Emergent Surgery in a Spanish Population), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04211532 unknown statusnot on this mapstarted 2019, after this paper: background citation

Evaluation of the ACS-NSQIP Risk Calculator for Emergent Surgery in a Spanish Population

TypeobservationalSponsorCorporacion Parc TauliRan2019 to 2020Enrolled400ConditionsPostoperative ComplicationsArmsSurgery
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  8. Validation of the emergency surgery score's predictive accuracy for postoperative outcomes and ICU admissions in MENA vs. non-MENA emergency surgery patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Practice patterns and clinical outcomes in acute appendicitis differ in the elderly patient.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Observational
  13. Observational
  14. Article
  15. Article
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  18. Comparison of different scoring systems in predicting mortality and postoperative complications in acute care surgery patients at a Saudi Academic Centre.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Joaquim Michael HavensDivision of Trauma, Burns and Surgical Critical Care, Brigham and Women's Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-2143-3756
Alexandra B ColumbusCenter for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Anupamaa J SeshadriDivision of Trauma, Burns and Surgical Critical Care, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Carlos V R BrownDivision of Acute Care Surgery, Dell Medical School, University of Texas at Austin, Austin, Texas, USA.
Gail T TominagaDepartment of Surgery, Scripps Memorial Hospital La Jolla, La Jolla, California, USA.
Nathan T MoweryDepartment of Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.
Marie CrandallDepartment of Surgery, University of Florida College of Medicine, Jacksonville, Florida, USA.ORCID 0000-0002-6536-3123

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of risk stratification tools (RST) aids in clinical triage, decision making and quality assessment in a wide variety of medical fields. Although emergency general surgery (EGS) is characterized by a comorbid, physiologically acute patient population with disparately high rates of perioperative morbidity and mortality, few RST have been explicitly examined in this setting. We examined the available RST with the intent of identifying a tool that comprehensively reflects an EGS patients perioperative risk for death or complication. The ideal tool would combine individualized assessment with relative ease of use. Trauma Scoring Systems, Critical Care Scoring Systems, Surgical Scoring Systems and Track and Trigger Models are reviewed here, with the conclusion that Emergency Surgery Acuity Score and the American College of Surgeons National Surgical Quality Improvement Programme Universal Surgical Risk Calculator are the most applicable and appropriate for EGS.

Indexed as

emergency general surgeryrisk adjustment

Identifiers

PMID29766138
PMCPMC5931296

What OpenQuestion holds

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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.