The Emergency Surgery Score (ESS) accurately predicts outcomes in elderly patients undergoing emergency general surgery - 27/09/20
Abstract |
Background |
The performance of the Emergency Surgery Score (ESS), a validated risk calculator, in the elderly emergency general surgery (EGS) patient remains unclear. We hypothesized that ESS accurately predicts outcomes in elderly EGS patients, including octogenarians and nonagenarians.
Methods |
Using the 2007–2017 National Surgical Quality Improvement Program (NSQIP) database, we included all EGS patients ≥65 years old. The correlation between ESS, mortality and morbidity was assessed in the 3 patient cohorts (>65, octogenarians and nonagenarians), using the area under the curve (AUC).
Results |
A total of 124,335 patients were included, of which 34,215 (28%) were octogenarians and 7239 (6%) were nonagenarians. In patients ≥65 years, ESS accurately predicted mortality (AUC 0.81). For octogenarians and nonagenarians, ESS predicted mortality moderately well (AUC 0.77 and 0.69, respectively.
Conclusion |
ESS accurately predicts mortality and morbidity in the elderly EGS patient, but its accuracy in predicting morbidity decreases for nonagenarians.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The predictive ability of the Emergency Surgery Score (ESS) in the elderly population is unknown. |
• | ESS accurately predicts mortality in EGS patients ≥65 years (AUC 0.81). |
• | ESS predicted mortality moderately well in octogenarians (AUC 0.77) and nonagenarians (AUC 0.69). |
Résumé |
The Emergency Surgery Score is a well-established risk calculator for emergency general surgery (EGS) patients, but its predictive ability in the elderly population is unknown. ESS accurately predicting mortality in EGS patients ≥65 years (AUC 0.81) and moderately-well in octogenarians (AUC 0.77) and nonagenarians (AUC 0.69).
Le texte complet de cet article est disponible en PDF.Keywords : Emergency surgery, General surgery, Mortality, Outcomes, Benchmarking
Plan
Vol 220 - N° 4
P. 1052-1057 - octobre 2020 Retour au numéro
Article précédent
- Adhesive bowel obstruction: Incidence, recurrence and 30-day mortality in Danish women 1984–2013 – A national cohort study
- C. Norrbom, M. Steding-Jessen, C. Agger, M. Osler, M. Krabbe- Sorensen, S.C. Rasmussen, A. Settnes, L. Nilas, E. Løkkegaard
- Frailty assessment in the acute care surgery population - the agreement and predictive value on length of stay and re-admission of 3 different instruments in a prospective cohort
- Zayan Mahmooth, Elizabeth Carpenter, Edward Lin, Marianne Foster, Carla Haack, Jyotirmay Sharma, Dipan Patel, Juan Sarmiento, John Sweeney, Wendy Greene, David Elwood
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?