The Emergency surgery score (ESS) accurately predicts outcomes of emergency surgical admissions at a Saudi academic health center - 12/08/21
, Ouf A. Aloofy b, Muath A. Alasheikh c, Turky A. Bn Duraihem d, Abdulmajeed Altoijry e, Talal A Altuwaijri e, Thamer A. Nouh aAbstract |
Background |
The emergency surgery score (ESS) has emerged as a tool to predict outcomes in emergency surgery (EGS) patients. Our study examines the ability of ESS to predict outcomes in EGS admissions.
Methods |
All EGS admissions to King Saud University Medical City (KSUMC) from January 2017 to October 2019 were included. ESS was calculated for each patient. Correlations between ESS and 30-day mortality and complications were evaluated.
Results |
1607 patients were included. 30-day mortality rate was 2.2% while complication rate was 18.7%. Mortality increased as ESS increased, from 0.3% for ESS≤2, to 30.1% for ESS >10, with a c-statistic of 0.88. Complication rates were 2.2%, 40%, and 100% at ESS of 0, 6, and 15, respectively, with a c-statistic of 0.82.
Conclusions |
ESS accurately predicted outcomes at our tertiary center. ESS could be useful in identifying high risk EGS admissions and in benchmarking quality of care across Saudi institutions.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The Emergency surgery score (ESS) has not been validated outside the US, specifically in Saudi Arabia. |
• | ESS accurately predicted mortality in emergency general surgery patients (EGS) at a Saudi tertiary center (AUC 0.88). |
• | ESS accurately predicated complications in the same patient cohort (AUC 0.82). |
• | ESS was robust in the presence of missing variables. |
• | ESS can be used as a tool in risk stratifying EGS patients and in benchmarking quality of care in Saudi Arabia. |
Keywords : Emergency surgery, General surgery, Mortality, Outcomes, Benchmarking
Plan
Vol 222 - N° 3
P. 631-637 - septembre 2021 Retour au numéro
Article précédent
- Efficient evaluation of center-level emergency surgery performance using a high-yield procedure set: A step towards an EGS registry
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