Publication: The emergency surgery score (ESS) and outcomes in elderly patients undergoing emergency laparotomy: A post-hoc analysis of an EAST multicenter study
Issued Date
2021-05-01
Resource Type
ISSN
18791883
00029610
00029610
Other identifier(s)
2-s2.0-85090481391
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
American Journal of Surgery. Vol.221, No.5 (2021), 1069-1075
Suggested Citation
Majed El Hechi, Napaporn Kongkaewpaisan, Mohamad El Moheb, Brittany Aicher, Jose Diaz, Lindsay OʼMeara, Cassandra Decker, Jennifer Rodriquez, Thomas Schroeppel, Rishi Rattan, Georgia Vasileiou, D. Dante Yeh, Ursula Simonosk, David Turay, Daniel Cullinane, Cory Emmert, Marta McCrum, Natalie Wall, Jeremy Badach, Anna Goldenberg-Sanda, 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 Kaafarani The emergency surgery score (ESS) and outcomes in elderly patients undergoing emergency laparotomy: A post-hoc analysis of an EAST multicenter study. American Journal of Surgery. Vol.221, No.5 (2021), 1069-1075. doi:10.1016/j.amjsurg.2020.08.039 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78275
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
The emergency surgery score (ESS) and outcomes in elderly patients undergoing emergency laparotomy: A post-hoc analysis of an EAST multicenter study
Author(s)
Majed El Hechi
Napaporn Kongkaewpaisan
Mohamad El Moheb
Brittany Aicher
Jose Diaz
Lindsay OʼMeara
Cassandra Decker
Jennifer Rodriquez
Thomas Schroeppel
Rishi Rattan
Georgia Vasileiou
D. Dante Yeh
Ursula Simonosk
David Turay
Daniel Cullinane
Cory Emmert
Marta McCrum
Natalie Wall
Jeremy Badach
Anna Goldenberg-Sanda
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 Kaafarani
Napaporn Kongkaewpaisan
Mohamad El Moheb
Brittany Aicher
Jose Diaz
Lindsay OʼMeara
Cassandra Decker
Jennifer Rodriquez
Thomas Schroeppel
Rishi Rattan
Georgia Vasileiou
D. Dante Yeh
Ursula Simonosk
David Turay
Daniel Cullinane
Cory Emmert
Marta McCrum
Natalie Wall
Jeremy Badach
Anna Goldenberg-Sanda
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 Kaafarani
Other Contributor(s)
Siriraj Hospital
Loma Linda University Medical Center
Massachusetts General Hospital
Marshfield Clinic
University of Colorado Anschutz Medical Campus
UT Southwestern Medical Center
Eastern Maine Medical Center
The University of Utah
NYU Grossman School of Medicine
University of Miami Leonard M. Miller School of Medicine
Memorial Hospital Central
Staten Island University Hospital
Cooper University Hospital
Hackensack University Medical Center
Papageorgiou General Hospital
University of Maryland R Adams Cowley Shock Trauma Center
Miami Valley Hospital
University of Florida College of Medicine
Mayo Clinic
Johns Hopkins School of Medicine
Loma Linda University Medical Center
Massachusetts General Hospital
Marshfield Clinic
University of Colorado Anschutz Medical Campus
UT Southwestern Medical Center
Eastern Maine Medical Center
The University of Utah
NYU Grossman School of Medicine
University of Miami Leonard M. Miller School of Medicine
Memorial Hospital Central
Staten Island University Hospital
Cooper University Hospital
Hackensack University Medical Center
Papageorgiou General Hospital
University of Maryland R Adams Cowley Shock Trauma Center
Miami Valley Hospital
University of Florida College of Medicine
Mayo Clinic
Johns Hopkins School of Medicine
Abstract
Introduction: We sought to evaluate whether the Emergency Surgery Score (ESS) can accurately predict outcomes in elderly patients undergoing emergent laparotomy (EL). Methods: This is a post-hoc analysis of an EAST multicenter study. Between April 2018 and June 2019, all adult patients undergoing EL in 19 participating hospitals were prospectively enrolled, and ESS was calculated for each patient. Using the c-statistic, the correlation between ESS and mortality, morbidity, and need for ICU admission was assessed in three patient age cohorts (65–74, 75–84, ≥85 years old). Results: 715 patients were included, of which 52% were 65–74, 34% were 75–84, and 14% were ≥85 years old; 51% were female, and 77% were white. ESS strongly correlated with postoperative mortality (c-statistic:0.81). Mortality gradually increased from 0% to 20%–60% at ESS of 2, 10 and 16 points, respectively. ESS predicted mortality, morbidity, and need for ICU best in patients 65–74 years old (c-statistic:0.81, 0.75, 0.83 respectively), but its performance significantly decreased in patients ≥85 years (c-statistic:0.72, 0.64, 0.67 respectively). Conclusion: ESS is an accurate predictor of outcome in the elderly EL patient 65–85 years old, but its performance decreases for patients ≥85. Consideration should be given to modify ESS to better predict outcomes in the very elderly patient population.