Does Emergency General Surgery (EGS) Hospital Volume Contribute to Improved Outcomes?

被引:1
作者
DeWane, Michael P. [1 ]
Becher, Robert D. [1 ]
Schuster, Kevin M. [1 ]
机构
[1] Yale Sch Med, Div Gen Surg Trauma & Surg Crit Care, Dept Surg, 330 Cedar St,BB310,POB 208062, New Haven, CT 06520 USA
关键词
Surgical outcomes; Surgical volume; Emergency general surgery; Geriatric surgery; MORTALITY; CARE; BURDEN; RATES;
D O I
10.1007/s40137-020-00262-6
中图分类号
R61 [外科手术学];
学科分类号
摘要
Purpose of Review This review outlines the current state of the literature regarding the effect of hospital emergency general surgery (EGS) volume on patient- and hospital-based outcomes. Recent Findings Recent evidence suggests that higher volume centers offer superior performance with respect to in-hospital mortality, a phenomenon that becomes more pronounced with increasingly complex or high-risk operations. High-quality studies have demonstrated that hospital EGS volume is correlated with lower in-patient mortality. This finding has been demonstrated across individual EGS operations with increasing case complexity requiring higher volumes to demonstrate improved outcomes. There remains a knowledge gap in determining what specific factor of volume, such as surgeon volume or system experience or possibly a combination of the two, best explains the observed improvement in outcomes.
引用
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页数:6
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