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7 Emergency Procedures Account for 80% of all EGS Deaths

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Kathleen Becker1 year ago

According to Medscape, new study has found that seven types of emergency general surgeries (EGS) account for more than 80 percent of all EGS-related deaths.

About the EGS Complication Study

According to a retrospective review of 421,476 procedures performed in the U.S., seven different types of emergency general surgeries (EGSs) account for a majority of all EGSs (80.0%), deaths (80.3%), complications (78.9%), as well as impatient costs (80.2%).

According to researchers, patients who undergo emergency general surgeries are on average 8 times more likely to die following their operation than patients that undergo similar procedures electively. Further, about half of patients who undergo EGSs suffer at least one postoperative complication, and roughly 15% are readmitted within 30 days of undergoing their surgery.

Prominent EGSs and Complications

The seven procedures cited by researchers included partial colectomy, small bowel resection, cholecystectomy, operative management of peptic ulcer disease, lysis of peritoneal adhesions, appendectomy, and laparotomy.

Some complications included pneumonia, deep vein thrombosis and/or pulmonary embolism, acute renal injury, stroke, myocardial infarction, cardiac arrest, acute respiratory distress syndrome, sepsis, septic shock, mechanical wound failure, wound infection, postoperative gastrointestinal tract complications, and other postoperative complications including retained foreign body and postoperative hemorrhage.

According to the Use of National Burden to Define Operative Emergency General Surgery, “only 7 procedures account for most admissions, deaths, complications, and inpatient costs attributable to the 512 079 EGS procedures performed in the United States each year. National quality benchmarks and cost reduction efforts should focus on these common, complicated, and costly EGS procedures.”


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