For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
4
views
21
references
 Top references
cited by
12
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      98
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Past, present, and future of Emergency General Surgery in the USA

      review-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Emergency General Surgery ( EGS) patients represent a unique group of acutely ill surgical patients at high risk for death and complications. Since the inception of EGS as a surgical subspecialty in the early 2000s, there have been significant developments to further define the scope of EGS as well as to advance data collection, performance measurement, and quality improvement. This includes defining the EGS cohort by diagnosis and procedure and by overall burden, benchmarking of EGS outcomes, and creation of quality improvement programs aimed at reducing the excess morbidity and mortality associated with EGS. Going forward there exists a need for a more modern approach to quality improvement. This may include the creation of an EGS data registry, the use of electronic medical records data, wearable device technology, and a focus on patient reported outcomes.

          Related collections

          Most cited references21

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Big data analytics in healthcare: promise and potential

          Wullianallur Raghupathi, Viju Raghupathi (2014)
          Objective To describe the promise and potential of big data analytics in healthcare. Methods The paper describes the nascent field of big data analytics in healthcare, discusses the benefits, outlines an architectural framework and methodology, describes examples reported in the literature, briefly discusses the challenges, and offers conclusions. Results The paper provides a broad overview of big data analytics for healthcare researchers and practitioners. Conclusions Big data analytics in healthcare is evolving into a promising field for providing insight from very large data sets and improving outcomes while reducing costs. Its potential is great; however there remain challenges to overcome.
          Article 0 comments Cited 484 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Risk factors for 30-day hospital readmission among general surgery patients.

            Michael T Kassin, Rachel M Owen, Sebastian D Perez … (2012)
            Hospital readmission within 30 days of an index hospitalization is receiving increased scrutiny as a marker of poor-quality patient care. This study identifies factors associated with 30-day readmission after general surgery procedures. Using standard National Surgical Quality Improvement Project protocol, preoperative, intraoperative, and postoperative outcomes were collected on patients undergoing inpatient general surgery procedures at a single academic center between 2009 and 2011. Data were merged with our institutional clinical data warehouse to identify unplanned 30-day readmissions. Demographics, comorbidities, type of procedure, postoperative complications, and ICD-9 coding data were reviewed for patients who were readmitted. Univariate and multivariate analysis was used to identify risk factors associated with 30-day readmission. One thousand four hundred and forty-two general surgery patients were reviewed. One hundred and sixty-three (11.3%) were readmitted within 30 days of discharge. The most common reasons for readmission were gastrointestinal problem/complication (27.6%), surgical infection (22.1%), and failure to thrive/malnutrition (10.4%). Comorbidities associated with risk of readmission included disseminated cancer, dyspnea, and preoperative open wound (p < 0.05 for all variables). Surgical procedures associated with higher rates of readmission included pancreatectomy, colectomy, and liver resection. Postoperative occurrences leading to increased risk of readmission were blood transfusion, postoperative pulmonary complication, wound complication, sepsis/shock, urinary tract infection, and vascular complications. Multivariable analysis demonstrates that the most significant independent risk factor for readmission is the occurrence of any postoperative complication (odds ratio = 4.20; 95% CI, 2.89-6.13). Risk factors for readmission after general surgery procedures are multifactorial, however, postoperative complications appear to drive readmissions in surgical patients. Taking appropriate steps to minimize postoperative complications will decrease postoperative readmissions. Copyright © 2012 American College of Surgeons. Published by Elsevier Inc. All rights reserved.
            Article 0 comments Cited 111 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Use of National Burden to Define Operative Emergency General Surgery.

              John W. Scott, Olubode Olufajo, Gabriel Brat … (2016)
              Emergency general surgery (EGS) represents 11% of surgical admissions and 50% of surgical mortality in the United States. However, there is currently no established definition of the EGS procedures.
              Article 0 comments Cited 100 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Joaquim M. Havens:
                ORCID: http://orcid.org/0000-0003-2143-3756
                jhavens@bwh.harvard.edu
                Journal
                Journal ID (nlm-ta): Acute Med Surg
                Journal ID (iso-abbrev): Acute Med Surg
                Journal ID (doi): 10.1002/(ISSN)2052-8817
                Journal ID (publisher-id): AMS2
                Title: Acute Medicine & Surgery
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Electronic): 2052-8817
                Publication date (Electronic): 12 January 2018
                Publication date Collection: April 2018
                Volume: 5
                Issue: 2 ( doiID: 10.1002/ams2.2018.5.issue-2 )
                Pages: 119-122
                Affiliations
                [ 1 ] Department of Surgery Brigham and Women's Hospital Boston MA
                [ 2 ] Division of Trauma, Burns and Surgical Critical Care Brigham and Women's Hospital Boston MA
                [ 3 ] Center for Surgery and Public Health Brigham and Women's Hospital Boston MA
                Author notes
                [*] [* ]Corresponding: Joaquim Havens, MD, Division of Trauma, Burns and Surgical Critical Care, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115. E‐mail: jhavens@ 123456bwh.harvard.edu .
                Author information
                http://orcid.org/0000-0003-2143-3756
                Article
                Publisher ID: AMS2327
                DOI: 10.1002/ams2.327
                PMC ID: 5891107
                PubMed ID: 29657721
                SO-VID: b4b34cc9-e651-4d44-a99e-bd8d4b5d7aec
                Copyright © © 2018 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 22 November 2017
                Date accepted : 04 December 2017
                Page count
                Figures: 2, Tables: 0, Pages: 4, Words: 2548
                Categories
                Subject: Review Article
                Subject: Review Articles
                Custom metadata
                source-schema-version-number 2.0
                component-id ams2327
                cover-date April 2018
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.3.4 mode:remove_FC converted:09.04.2018

                Keywords: emergency general surgery,quality improvement,surgical outcomes
                Data availability:
                Keywords: emergency general surgery, quality improvement, surgical outcomes

                Comments

                Comment on this article

                scite_

                Similar content98

                See all similar

                Cited by12

                See all cited by

                Most referenced authors190

                See all reference authors