ArticleSurgical endoscopy2020
Trends in emergency department utilization following common operations in New York State, 2005-2014.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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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
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Who cites it
10 citing papers in PubMed, 20 citations in OpenAlex.
- Readmissions and Emergency Room Visits Following Outpatient and Inpatient Herniorrhaphies.Cureus · 2025Article
- Impact of metal vs non-absorbable, polymer clips during laparoscopic cholecystectomy.Surgical endoscopy · 2025Article
- Outcomes of emergency general surgery admissions in patients experiencing homelessness: A matched cohort study.Surgery · 2024Article
- Examining emergency department utilization following bariatric surgery.Surgical endoscopy · 2024Article
- Is there an outcome benefit? Patient engagement technology in addition to the electronic medical record patient portal following elective colorectal surgery.Surgical endoscopy · 2023Article
- Evaluation of emergency department treat-and-release encounters after major gastrointestinal surgery.Journal of surgical oncology · 2023Article
- Impact of the COVID-19 Pandemic on the Pediatric Hospital Visits: Evidence from the State of Florida.Pediatric reports · 2022Article
- Emergency Department Utilization Following Hepatopancreatic Surgery Among Medicare Beneficiaries.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Emergency department overutilization following cholecystectomy and inguinal hernia repair.Surgical endoscopy · 2021Article
- Examining emergency department utilization in the post-foregut surgery patient.Surgical endoscopy · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundED overutilization is a leading cause of increased healthcare costs and a key target for healthcare reform. ED utilization patterns following common operative procedures are unknown.
methodsUsing the SPARCS New York (NY) statewide longitudinal administrative database, a longitudinal analysis on 746,633 patients who underwent cholecystectomy (n = 355,368), appendectomy (n = 142,797) or inguinal hernia repair (n = 248,468) from 2005 to 2014 was performed. ED revisits were identified via unique patient identifiers which allow for patient tracking across hospitals in NY State.
resultsIn total, 59,255 (7.9%) patients presented to the ED within 30-days of their operation of which 21,638 (36.5%) were admitted. The aggregated rate of ED utilization and admission from the ED were as follows: cholecystectomy (9.5%, 40%), appendectomy (9.1%, 33.1%), and inguinal hernia repair (5.1%, 26.2%), respectively. A longitudinal analysis demonstrated a relative slowing of the rate of increase in hospital readmissions for cholecystectomy and inguinal hernia repair but no change in the number of ED revisits for inguinal hernia repair.
conclusionsNearly 1 in 10 patients undergoing cholecystectomy and appendectomy, and 1 in 20 patients undergoing inguinal hernia repair will present to the ED following surgery. The majority of ED visits do not result in admission, calling their necessity into question. These data suggest possible overutilization of the ED following common operations and support the consideration of ED utilization as a quality indicator.
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