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Related Concept Videos

Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Appendicitis01:19

Appendicitis

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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
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Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Esophageal Perforation-II: Clinical Manifestations and Management

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Clinical Manifestations:

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Related Experiment Video

Updated: Jun 3, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Factors affecting morbidity in emergency general surgery.

Felix Akinbami1, Reza Askari, Jill Steinberg

  • 1Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA 02115, USA.

American Journal of Surgery
|March 23, 2011
PubMed
Summary

Predictors of emergency general surgery complications include older age, male sex, smoking, higher blood glucose and creatinine, lower albumin, and longer surgery times. These factors can guide interventions to improve patient outcomes.

Related Experiment Videos

Last Updated: Jun 3, 2026

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center
07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Area of Science:

  • General Surgery
  • Surgical Outcomes Research

Background:

  • Emergency surgery status is linked to poorer patient outcomes.
  • Identifying predictors of morbidity in emergency general surgery is crucial for improving care.
  • This study aimed to identify factors associated with postoperative complications in this patient group.

Purpose of the Study:

  • To determine independent predictors of postoperative complications in emergency general surgery.
  • To provide data that can inform strategies for reducing morbidity and mortality.

Main Methods:

  • Retrospective analysis of 819 emergency general surgery cases from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database.
  • Inclusion of additional non-ACS NSQIP variables for comprehensive analysis.
  • Primary outcome measured was the occurrence of postoperative complications within 30 days.

Main Results:

  • Overall complication rate was 24.7%, with a 30-day mortality of 8.9%.
  • Most frequent complications included respiratory (47%) and wound issues (18%).
  • Independent predictors of morbidity identified were: older age, male sex, smoking, elevated blood glucose and creatinine levels, decreased albumin levels, and longer surgical duration.

Conclusions:

  • Patients experiencing postoperative complications in emergency general surgery are often older males, smokers, with elevated blood glucose and creatinine, low albumin, and prolonged surgical times.
  • Targeting interventions such as fluid resuscitation and utilizing experienced surgical teams may improve outcomes for this high-risk population.