紧急手术评分（ESS）能准确预测沙特学术医疗中心急诊手术入院患者的结局。
The Emergency surgery score (ESS) accurately predicts outcomes of emergency surgical admissions at a Saudi academic health center.
机构信息
Trauma and Acute Care Surgery Unit, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Department of Radiology, King Faisal Hospital and Research Center, Riyadh, Saudi Arabia.
出版信息
Am J Surg. 2021 Sep;222(3):631-637. doi: 10.1016/j.amjsurg.2021.01.017. Epub 2021 Jan 13.
BACKGROUND
The emergency surgery score (ESS) has emerged as a tool to predict outcomes in emergency surgery (EGS) patients. Our study examines the ability of ESS to predict outcomes in EGS admissions.
METHODS
All EGS admissions to King Saud University Medical City (KSUMC) from January 2017 to October 2019 were included. ESS was calculated for each patient. Correlations between ESS and 30-day mortality and complications were evaluated.
RESULTS
1607 patients were included. 30-day mortality rate was 2.2% while complication rate was 18.7%. Mortality increased as ESS increased, from 0.3% for ESS≤2, to 30.1% for ESS >10, with a c-statistic of 0.88. Complication rates were 2.2%, 40%, and 100% at ESS of 0, 6, and 15, respectively, with a c-statistic of 0.82.
CONCLUSIONS
ESS accurately predicted outcomes at our tertiary center. ESS could be useful in identifying high risk EGS admissions and in benchmarking quality of care across Saudi institutions.
背景
紧急手术评分（ESS）已成为预测急诊手术（EGS）患者结局的工具。我们的研究旨在评估 ESS 在预测 EGS 患者结局方面的能力。
方法
纳入 2017 年 1 月至 2019 年 10 月期间在沙特国王大学医学城（KSUMC）收治的所有 EGS 患者。为每位患者计算 ESS。评估 ESS 与 30 天死亡率和并发症之间的相关性。
结果
共纳入 1607 例患者。30 天死亡率为 2.2%，并发症发生率为 18.7%。死亡率随 ESS 的增加而升高，ESS≤2 者死亡率为 0.3%，ESS>10 者死亡率为 30.1%，C 统计量为 0.88。ESS 为 0、6 和 15 时，并发症发生率分别为 2.2%、40%和 100%，C 统计量为 0.82。
结论
ESS 能准确预测我们的三级医疗中心的结局。ESS 可用于识别高风险 EGS 患者，并在沙特各医疗机构之间进行护理质量的基准比较。
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