Observational studyBMC surgery2026
Clinical profile, outcomes and mortality determinants among emergency general surgery patients in a Latin American tertiary hospital: a retrospective registry-based cross-sectional study.
Observational study in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05930574 (Demographic and Clinical Characterization of Patients Operated by the General Surgery Service Who Were Admitted by the Emergency Service of the Dr. Rafael Ángel Calderón Guardia Hospital, 2021-2022.), which is not on this map. Not yet cited in PubMed.
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The trial behind it
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Demographic and Clinical Characterization of Patients Operated by the General Surgery Service Who Were Admitted by the Emergency Service of the Dr. Rafael Ángel Calderón Guardia Hospital, 2021-2022.
Who cites it
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency General Surgery (EGS) patients are clinically complex and frequently underreported, particularly in Latin America, which hampers benchmarking and quality-improvement efforts. We implemented a hospital-based structured data collection system to characterize EGS patients and outcomes in a tertiary university hospital.
methodsWe conducted a retrospective cross-sectional study of a prospectively collected database including all patients aged ≥ 13 years who required emergency general surgery between May and November 2020 at a high-complexity public university hospital in Costa Rica, comparable to a US Level I trauma center. Sociodemographic, perioperative, and outcome variables were collected. Descriptive statistics were computed. Univariate analyses and multivariable Firth penalized logistic regression were performed to identify factors independently associated with in-hospital mortality.
resultsA total of 575 patients were included; 52.9% were male and the most frequent age group was 18-29 years (23.7%). Most procedures occurred outside ordinary hours (72.2%), and surgical residents were the primary surgeons in 51.1% of cases. Laparoscopy was the initial approach in 67.8%. The most frequent care categories were gastrointestinal emergencies (48.2%), hepatobiliary emergencies (23.7%), and trauma (8.2%). Acute appendicitis (37.4%) and gallbladder and biliary disease (23.3%) were the leading diagnostic groups. Overall in-hospital mortality was 5.6%. In the final complete-case cohort (n = 511), mechanical ventilation, ASA III-IV status, hemodynamic instability, and open abdomen were independently associated with in-hospital mortality.
conclusionsThese findings provide a contemporary description of emergency general surgery patients treated at a Latin American tertiary-care hospital and identify clinical factors associated with in-hospital mortality.
trial registrationNCT05930574.
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