Narula Nisha, Mulles Shanen M, Merchant Aziz M, Onwubalili Kenechi, Cue Lauren, Fiorentino Michele, Awan Nina, Oliver Joseph B, Cummings Dustin, Shapiro Michael E, Mosenthal Anne C, Livingston David H, Glass Nina E
Department of Surgery, Rutgers New Jersey Medical School, 185 S Orange Ave, Newark, NJ 07101, USA.
Department of Surgery, Health Sciences Center T19-030, Stony Brook Medicine, Stony Brook, NY 1794-8191, USA.
Surg Pract Sci. 2025 Jul 2;22:100295. doi: 10.1016/j.sipas.2025.100295. eCollection 2025 Sep.
An emergency general surgery (EGS) service is a crucial component of care in a hospital. Current reviews of EGS focus on procedural-based or diagnosis-driven reviews of administrative data. However, patients evaluated by an EGS service may or may not undergo surgery. Therefore, we sought to determine the feasibility of maintaining an EGS registry to include those who do and do not undergo surgery and determine the contribution of nonoperative care to the service.
Demographic and clinical data for operative and nonoperative general surgery consult patients extracted from the local medical record were entered into a registry over 12 months from 2018 to 2019. We used descriptive statistics to demonstrate differences in demographics and clinical presentation between operative and nonoperative groups.
1065 EGS patients were captured into the registry, only 40 % of whom required an operation. Insurance status and race/ethnicity were different between operative and nonoperative groups. Reasons for consultation varied broadly with the largest group (20 %) being for hepatopancreaticobiliary disease.
Providing insight into the important contribution of nonoperative care on EGS burden, we present data from an institutional EGS registry. EGS registries can provide direction for future studies to guide optimal management of EGS patients, especially in resource-limited settings.
Maintaining registries poses challenges but given its importance and the need to determine the contribution of patients who do not undergo procedures to the service load, resources are necessary to ensure they continue.
急诊普通外科（EGS）服务是医院护理的关键组成部分。目前对EGS的综述侧重于基于程序或诊断驱动的行政数据审查。然而，由EGS服务评估的患者可能接受手术，也可能不接受手术。因此，我们试图确定维持一个EGS登记册的可行性，该登记册要纳入接受和未接受手术的患者，并确定非手术治疗对该服务的贡献。
从当地病历中提取的手术和非手术普通外科会诊患者的人口统计学和临床数据，在2018年至2019年的12个月内录入登记册。我们使用描述性统计来展示手术组和非手术组在人口统计学和临床表现上的差异。
1065名EGS患者被纳入登记册，其中只有40%需要进行手术。手术组和非手术组的保险状况和种族/民族不同。会诊原因差异很大，最大的一组（20%）是肝胰胆疾病。
我们提供了来自机构EGS登记册的数据，以深入了解非手术治疗对EGS负担的重要贡献。EGS登记册可为未来研究提供方向，以指导EGS患者的最佳管理，尤其是在资源有限的环境中。
维持登记册存在挑战，但鉴于其重要性以及确定未接受手术的患者对服务负荷的贡献的必要性，需要资源来确保登记册能够持续存在。
