Use of a New Prevention Model in Acute Care Surgery: A Population Approach to Preventing Emergency Surgical Morbidity and Mortality.
Use of a New Prevention Model in Acute Care Surgery: A Population Approach to Preventing Emergency Surgical Morbidity and Mortality.
复制标题
在急症护理手术中使用新的预防模式：预防急诊手术发病率和死亡率的人群方法。
DOI：
10.1097/as9.0000000000000188
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Strom,BrianL
中科院分区：
文献类型：
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作者：
Peck,GregoryL;Hudson,ShawnaV;Roy,JasonA;Gracias,VicenteH;Strom,BrianL
在美国，患者在接受紧急普通外科手术治疗后患上紧急外科疾病和死亡的风险仍然是一个持续的公共卫生负担。1急诊外科疾病占所有手术入院的11%，7次手术占总疾病负担的80%。2急诊手术与较高的医疗保健利用率和发病率相关联，包括可预防的术后并发症和每年300亿美元的费用，这表明有机会通过将紧急手术转移到择期手术或非手术护理来提高手术费用的价值。更令人担忧的问题是高死亡率；急诊普外科疾病占所有外科死亡率的50%以上。2这在一定程度上是因为外科医生只专注于三级预防，即预防接受紧急手术的人的死亡和残疾，留下了一级和二级预防的空白，这可能有助于预防外科疾病及其向紧急情况的进展。
Patients’ risk of emergency surgical disease and death after being treated with an emergent general surgical procedure remains an ongoing public health burden in the United States. 1 Emergency surgical disease accounts for 11% of all surgical admissions, with 7 operative procedures accounting for 80% of the total burden of disease. 2 The association of emergency surgery with high healthcare utilization and morbidity, including preventable postoperative complications and a $30 billion cost annually, suggests an opportunity to improve the value of surgical expenditures by shifting emergent to elective surgery or nonsurgical care. 3, 4An even more concerning issue is high mortality; emergency general surgical disease represents over 50% of all surgical mortality. 2 This results, in part, from the surgeon’s sole focus on tertiary prevention, that is, preventing mortality and disability among those undergoing emergency surgery, leaving a gap in primary and secondary prevention that could assist in preventing surgical disease and its progression toward emergency in the first place.