Publication:
The Emergency Surgery Score accurately predicts the need for postdischarge respiratory and renal support after emergent laparotomies: A prospective EAST multicenter study

Issued Date

2021-03-01

Resource Type

Article

ISSN

21630763

DOI

10.1097/TA.0000000000003016

Other identifier(s)

2-s2.0-85102217368

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

The journal of trauma and acute care surgery. Vol.90, No.3 (2021), 557-564

Suggested Citation

Majed El Hechi, Napaporn Kongkaewpaisan, Leon Naar, Brittany Aicher, Jose Diaz, Lindsay O'Meara, Cassandra Decker, Jennifer Rodriquez, Thomas Schroeppel, Rishi Rattan, Georgia Vasileiou, D. Dante Yeh, Ursula Simonoski, David Turay, Daniel Cullinane, Cory Emmert, Marta McCrum, Natalie Wall, Jeremy Badach, Anna Goldenberg-Sandau, Heather Carmichael, Catherine Velopulos, Rachel Choron, Joseph Sakran, Khaldoun Bekdache, George Black, Thomas Shoultz, Zachary Chadnick, Vasiliy Sim, Firas Madbak, Daniel Steadman, Maraya Camazine, Martin Zielinski, Claire Hardman, Mbaga Walusimbi, Mirhee Kim, Simon Rodier, Vasileios Papadopoulos, Georgios Tsoulfas, Javier Perez, Haytham M.A. Kaafarani The Emergency Surgery Score accurately predicts the need for postdischarge respiratory and renal support after emergent laparotomies: A prospective EAST multicenter study. The journal of trauma and acute care surgery. Vol.90, No.3 (2021), 557-564. doi:10.1097/TA.0000000000003016 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78388

Research Projects

Organizational Units

Authors

Journal Issue

Thesis

Title

The Emergency Surgery Score accurately predicts the need for postdischarge respiratory and renal support after emergent laparotomies: A prospective EAST multicenter study

Author(s)

Majed El Hechi
 Napaporn Kongkaewpaisan
 Leon Naar
 Brittany Aicher
 Jose Diaz
 Lindsay O'Meara
 Cassandra Decker
 Jennifer Rodriquez
 Thomas Schroeppel
 Rishi Rattan
 Georgia Vasileiou
 D. Dante Yeh
 Ursula Simonoski
 David Turay
 Daniel Cullinane
 Cory Emmert
 Marta McCrum
 Natalie Wall
 Jeremy Badach
 Anna Goldenberg-Sandau
 Heather Carmichael
 Catherine Velopulos
 Rachel Choron
 Joseph Sakran
 Khaldoun Bekdache
 George Black
 Thomas Shoultz
 Zachary Chadnick
 Vasiliy Sim
 Firas Madbak
 Daniel Steadman
 Maraya Camazine
 Martin Zielinski
 Claire Hardman
 Mbaga Walusimbi
 Mirhee Kim
 Simon Rodier
 Vasileios Papadopoulos
 Georgios Tsoulfas
 Javier Perez
 Haytham M.A. Kaafarani

Other Contributor(s)

Massachusetts General Hospital

Abstract

BACKGROUND: The Emergency Surgery Score (ESS) was recently validated as an accurate mortality risk calculator for emergency general surgery. We sought to prospectively evaluate whether ESS can predict the need for respiratory and/or renal support (RRS) at discharge after emergent laparotomies (EL). METHODS: This is a post hoc analysis of a 19-center prospective observational study. Between April 2018 and June 2019, all adult patients undergoing EL were enrolled. Preoperative, intraoperative, and postoperative variables were systematically collected. In this analysis, patients were excluded if they died during the index hospitalization, were discharged to hospice, or transferred to other hospitals. A composite variable, the need for RRS, was defined as the need for one or more of the following at hospital discharge: tracheostomy, ventilator dependence, or dialysis. Emergency Surgery Score was calculated for all patients, and the correlation between ESS and RRS was examined using the c-statistics method. RESULTS: From a total of 1,649 patients, 1,347 were included. Median age was 60 years, 49.4% were men, and 70.9% were White. The most common diagnoses were hollow viscus organ perforation (28.1%) and small bowel obstruction (24.5%); 87 patients (6.5%) had a need for RRS (4.7% tracheostomy, 2.7% dialysis, and 1.3% ventilator dependence). Emergency Surgery Score predicted the need for RRS in a stepwise fashion; for example, 0.7%, 26.2%, and 85.7% of patients required RRS at an ESS of 2, 12, and 16, respectively. The c-statistics for the need for RRS, the need for tracheostomy, ventilator dependence, or dialysis at discharge were 0.84, 0.82, 0.79, and 0.88, respectively. CONCLUSION: Emergency Surgery Score accurately predicts the need for RRS at discharge in EL patients and could be used for preoperative patient counseling and for quality of care benchmarking. LEVEL OF EVIDENCE: Prognostic and epidemiological, level III.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/78388

Collections

Scopus 2021