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Updated: Jul 2, 2025
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Patient reported outcomes of emergency general surgery procedures
Pawan J Mathew1, Yasmin M Ali1, Rick O'Connor1
1Section of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Yale School of Medicine, New Haven, CT, 06510, USA.
Background:
Emergency general surgery (EGS) involves care of a patient's often previously unknown disease in the setting of an unplanned interaction with the healthcare system. This leads to challenges collecting and interpreting patient reported outcome measures (PROMs).
Methods:
We performed a qualitative and mixed methods study using semi-structured interviews during the index hospitalization and at 6-12 months to capture peri-operative patient experiences. We compared interview findings to clinical characteristics.
Results:
Among 30 patients, two-thirds reported feeling no choice but to pursue emergency surgery with many reporting exclusion from decision-making. Females reported these themes more commonly. Patients with minor complications less frequently reported trust in their team and discussed communication issues and delays in care (all p < 0.05). Patients with major complications more frequently reported confidence in their team and gratefulness, but also communication limitations (all p < 0.05). Patients not admitted to the ICU more frequently discussed good communication and expeditious treatment.
Conclusions:
PROMs developed for EGS patients should consider patient outcomes and reflections that they felt excluded from decision-making. Severity of complications may also differentially impact PROMs.
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