ArticleJournal of the American Geriatrics Society2019
Loss of Community-Dwelling Status Among Survivors of High-Acuity Emergency General Surgery Disease.
Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Clinical Momentum: An Observational Study Identifying Latent Forces Driving Surgical Interventions for Older Adults Near the End of Life.Annals of surgery · 2025Article
- Mortality burden from variation in provision of surgical care in emergency general surgery: a cohort study using the National Inpatient Sample.Trauma surgery & acute care open · 2024Article
- No healthcare coverage, big problem: lack of insurance for older population associated with worse emergency general surgery outcomes.Trauma surgery & acute care open · 2024Article
- What If We Do Not Operate? Outcomes of Nonoperatively Managed Emergency General Surgery Patients.The Journal of surgical research · 2023Article
- Functional Status is Key to Long-term Survival in Emergency General Surgery Conditions.The Journal of surgical research · 2023Article
- In their own words: recovery after emergency general surgery in the older patient.Trauma surgery & acute care open · 2023Article
- What if You Need More Than One? More Acute Care Surgery Procedures Are Associated with Mortality.Surgical infections · 2022Article
- Heath status, frailty, and multimorbidity in patients with emergency general surgery conditions.Surgery · 2022Article
- Narrative review of palliative care in trauma and emergency general surgery.Annals of palliative medicine · 2022Review
- Basic Introduction to Statistics in Medicine, Part 1: Describing Data.Surgical infections · 2021Review
- Predictors of mortality, limb loss, and discharge disposition at admission among patients with necrotizing skin and soft tissue infections.The journal of trauma and acute care surgery · 2020Article
- Initial emergency laparotomy outcomes following a transdisciplinary perioperative care pathway in Singapore.Acute medicine & surgeryArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
objectivesTo examine loss of community-dwelling status 9 months after hospitalization for high-acuity emergency general surgery (HA-EGS) disease among older Americans.
designRetrospective analysis of claims data.
settingUS communities with Medicare beneficiaries.
participantsMedicare beneficiaries age 65 years or older hospitalized urgently/emergently between January 1, 2015, and March 31, 2015, with a principal diagnosis representing potential life or organ threat (necrotizing soft tissue infections, hernias with gangrene, ischemic enteritis, perforated viscus, toxic colitis or gastroenteritis, peritonitis, intra-abdominal hemorrhage) and an operation of interest on hospital days 1 or 2 (N = 3319). MEASUREMENTS: Demographic characteristics (age, race, and sex), comorbidities, principal diagnosis, complications, and index hospitalization disposition (died; discharged to skilled nursing facility [SNF], long-term acute care [LTAC], rehabilitation, hospice, home (with or without services), or acute care hospital; other) were measured. Survivors of index hospitalization were followed until December 31, 2015, on mortality and community-dwelling status (SNF/LTAC vs not). Descriptive statistics, Kaplan-Meier plots, and χ
resultsA total of 2922 (88%) survived index hospitalization. Likelihood of discharge to home decreased with increasing age, baseline comorbidities, and in-hospital complications. Overall, 418 (14.3%) HA-EGS survivors died during the follow-up period. Among those alive at 9 months, 10.3% were no longer community dwelling. Initial discharge disposition to any location other than home and three or more surgical complications during index hospitalization were independent predictors of residing in a SNF/LTAC 9 months after surviving HA-EGS.
conclusionOlder Americans, known to prioritize living in the community, will experience substantial loss of independence due to HA-EGS. Long-term expectations after surviving HA-EGS must be framed from the perspective of the outcomes that older patients value the most. Further research is needed to examine the quality-of-life burden of EGS survivorship prospectively. J Am Geriatr Soc 67:2289-2297, 2019.
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