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Emergency General Surgery-A Misnomer?

Kirby Quinn, Mary E Davis, Lewin Carter

    The American Surgeon
    |August 2, 2018
    PubMed
    Summary

    Nonoperative management is common in emergency general surgery (EGS), with over half of patients receiving this care. Further research is needed to enhance EGS nonoperative processes and outcomes.

    Area of Science:

    • General Surgery
    • Surgical Outcomes
    • Healthcare Management

    Background:

    • Emergency general surgery (EGS) addresses urgent, nontrauma surgical conditions in adults.
    • Acute surgical emergencies are a leading cause of hospital admissions, commonly involving conditions like bowel obstruction and appendicitis.
    • EGS encompasses both operative and nonoperative strategies for acutely ill patients.

    Purpose of the Study:

    • To evaluate the extent of nonoperative care within emergency general surgery.
    • To understand the role of nonoperative management in EGS patient populations at an academic medical center.

    Main Methods:

    • Retrospective analysis of prospectively collected data.
    • Utilized data from the Duke EGS Registry spanning July 1, 2016, to September 10, 2017.

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  • Compared nonoperative versus operative management strategies.

    • Main Results:

    • 56% (n=771) of EGS patients were managed nonoperatively.
    • 44% (n=606) of EGS patients underwent operative management.
    • Nonoperative care constitutes a significant portion of EGS patient management.

    Conclusions:

    • Nonoperative management is a substantial component of emergency general surgery.
    • Further investigation into nonoperative EGS is crucial for improving care processes, patient outcomes, and standardization.