ArticleBJS open2019
Twenty-year study of in-hospital and postdischarge mortality following emergency general surgical admission.
Article in BJS open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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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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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.
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Who cites it
9 citing papers in PubMed.
- Patients referred to but not taken on to an outpatient parenteral antimicrobial therapy (OPAT) service: the impact of infection specialist advice on the assessment and clinical outcomes.JAC-antimicrobial resistance · 2026Article
- Perioperative predictors of critical care admission following emergency surgical procedures: a comprehensive evaluation of anesthesia management.Perioperative medicine (London, England) · 2026Article
- Population-level trends in emergency general surgery presentations and mortality over time.The British journal of surgery · 2023Article
- Research priorities in emergency general surgery (EGS): a modified Delphi approach.World journal of emergency surgery : WJES · 2022Article
- Regional variation in post-operative mortality in New Zealand.ANZ journal of surgery · 2022Article
- Article
- Using Machine Learning to Establish Predictors of Mortality in Patients Undergoing Laparotomy for Emergency General Surgical Conditions.World journal of surgery · 2022Article
- Causes of death after emergency general surgical admission: population cohort study of mortality.BJS open · 2021Article
- Impact of deprivation and comorbidity on outcomes in emergency general surgery: an epidemiological study.Trauma surgery & acute care open · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Emergency general surgery (EGS) patients have a higher mortality than those having elective surgery. Few studies have investigated changes in EGS-associated mortality over time or explored mortality rates after discharge. The aim of this study was to conduct a comprehensive, population-based analysis of mortality in EGS patients over a 20-year time frame. Methods: This was a cross-sectional study of all adult EGS admissions in Scotland between 1996 and 2015. Data were obtained from national records. Co-morbidities were defined by Charlson Co-morbidity Index, and operations were coded by OPCS-4 classifications. Linear and multivariable logistic regression models were used to evaluate changes over time. Results: Among 1 450 296 patients, the overall inpatient, 30-day, 90-day and 1-year mortality rates were 1·8, 3·8, 6·4 and 12·5 per cent respectively. Mortality was influenced by age at admission, co-morbidity, operation performed and date of admission (all Conclusion: Mortality after EGS in Scotland has reduced significantly over the past 20 years. This analysis of medium-term mortality after EGS admission demonstrates strikingly high rates, and postdischarge death rates are higher than is currently appreciated.
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