1. Laparoscopy is associated with decreased all-cause mortality in patients undergoing emergency general surgery procedures in a regional health system
- Author
-
Samuel W. Ross, Yancey E. Warren, Sean J Donohue, Caroline E. Reinke, Marc Kowalkowski, Mary M. Jordan, Addison K. May, Susan L. Evans, Timothy Hetherington, and Brent D. Matthews
- Subjects
Laparoscopic surgery ,medicine.medical_specialty ,Resuscitation ,medicine.diagnostic_test ,business.industry ,medicine.medical_treatment ,General surgery ,Hepatology ,Logistic regression ,Internal medicine ,Health care ,medicine ,Surgery ,Acute care surgery ,business ,Laparoscopy ,Abdominal surgery - Abstract
The aim of this study was to evaluate the use of laparoscopic surgery for common emergency general surgery (EGS) procedures within an integrated Acute Care Surgery (ACS) network. We hypothesized that laparoscopy would be associated with improved outcomes. Our integrated health care system’s EGS registry created from AAST EGS ICD-9 codes was queried from January 2013 to October 2015. Procedures were grouped as laparoscopic or open. Standard descriptive and univariate tests were performed, and a multivariable logistic regression controlling for open status, age, BMI, Charlson Comorbidity Index (CCI), trauma tier, and resuscitation diagnosis was performed. Laparoscopic procedures converted to open were identified and analyzed using concurrent procedure billing codes across episodes of care. Of 60,604 EGS patients identified over the 33-month period, 7280 (12.0%) had an operation and 6914 (11.4%) included AAST-defined EGS procedures. There were 4813 (69.6%) surgeries performed laparoscopically. Patients undergoing a laparoscopic procedure tended to be younger (45.7 ± 18.0 years vs. 57.2 ± 17.6, p
- Published
- 2021