Emergency general surgery: Defining burden of disease in the State of Maryland

Brandon R. Bruns, Ronald Tesoriero, Mayur Narayan, Elena N. Klyushnenkova, Herbert Chen, Thomas M. Scalea, Jose J. Diaz

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Acute care surgery services continue expanding to provide emergency general surgery (EGS) care. The aim of this study is to define the characteristics of the EGS population in Maryland. Retrospective review of the Health Services Cost Review Commission database from 2009 to 2013 was performed. American Association for the Surgery of Trauma-defined EGS ICD-9 codes were used to define the EGS population. Data collected included patient demographics, admission origin [emergency department (ED) versus non-ED], length of stay (LOS), mortality, and disposition. There were 3,157,646 encounters. In all, 817,942 (26%) were EGS encounters, with 76 per cent admitted via an ED. The median age of ED patients that died was 74 years versus 61 years for those that lived (P<0.001). Twenty one per cent of ED admitted patients had a LOS > 7 days. Of 78,065 non-ED admitted patients, the median age of those that died was 68 years versus 59 years for those that lived (P < 0.001). Twenty eight per cent of non-ED admits had LOS > 7 days. In both ED and non-ED patients, there was a bimodal distribution of death, with most patients dying at LOS ≤ 2 or LOS > 7 days. In this study, EGS diagnoses are present in 26 per cent of inpatient encounters in Maryland. The EGS population is elderly with prolonged LOS and a bimodal distribution of death.

Original languageEnglish (US)
Pages (from-to)829-834
Number of pages6
JournalAmerican Surgeon
Volume81
Issue number8
StatePublished - Jan 1 2015

Fingerprint

Emergencies
Hospital Emergency Service
Length of Stay
International Classification of Diseases
Population
Patient Admission
Health Care Costs
Health Services
Inpatients
Demography
Databases
Mortality
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

Bruns, B. R., Tesoriero, R., Narayan, M., Klyushnenkova, E. N., Chen, H., Scalea, T. M., & Diaz, J. J. (2015). Emergency general surgery: Defining burden of disease in the State of Maryland. American Surgeon, 81(8), 829-834.

Emergency general surgery : Defining burden of disease in the State of Maryland. / Bruns, Brandon R.; Tesoriero, Ronald; Narayan, Mayur; Klyushnenkova, Elena N.; Chen, Herbert; Scalea, Thomas M.; Diaz, Jose J.

In: American Surgeon, Vol. 81, No. 8, 01.01.2015, p. 829-834.

Research output: Contribution to journalArticle

Bruns, BR, Tesoriero, R, Narayan, M, Klyushnenkova, EN, Chen, H, Scalea, TM & Diaz, JJ 2015, 'Emergency general surgery: Defining burden of disease in the State of Maryland', American Surgeon, vol. 81, no. 8, pp. 829-834.
Bruns BR, Tesoriero R, Narayan M, Klyushnenkova EN, Chen H, Scalea TM et al. Emergency general surgery: Defining burden of disease in the State of Maryland. American Surgeon. 2015 Jan 1;81(8):829-834.
Bruns, Brandon R. ; Tesoriero, Ronald ; Narayan, Mayur ; Klyushnenkova, Elena N. ; Chen, Herbert ; Scalea, Thomas M. ; Diaz, Jose J. / Emergency general surgery : Defining burden of disease in the State of Maryland. In: American Surgeon. 2015 ; Vol. 81, No. 8. pp. 829-834.
@article{fcfba2ea62084d548cdbacfb9da42e75,
title = "Emergency general surgery: Defining burden of disease in the State of Maryland",
abstract = "Acute care surgery services continue expanding to provide emergency general surgery (EGS) care. The aim of this study is to define the characteristics of the EGS population in Maryland. Retrospective review of the Health Services Cost Review Commission database from 2009 to 2013 was performed. American Association for the Surgery of Trauma-defined EGS ICD-9 codes were used to define the EGS population. Data collected included patient demographics, admission origin [emergency department (ED) versus non-ED], length of stay (LOS), mortality, and disposition. There were 3,157,646 encounters. In all, 817,942 (26{\%}) were EGS encounters, with 76 per cent admitted via an ED. The median age of ED patients that died was 74 years versus 61 years for those that lived (P<0.001). Twenty one per cent of ED admitted patients had a LOS > 7 days. Of 78,065 non-ED admitted patients, the median age of those that died was 68 years versus 59 years for those that lived (P < 0.001). Twenty eight per cent of non-ED admits had LOS > 7 days. In both ED and non-ED patients, there was a bimodal distribution of death, with most patients dying at LOS ≤ 2 or LOS > 7 days. In this study, EGS diagnoses are present in 26 per cent of inpatient encounters in Maryland. The EGS population is elderly with prolonged LOS and a bimodal distribution of death.",
author = "Bruns, {Brandon R.} and Ronald Tesoriero and Mayur Narayan and Klyushnenkova, {Elena N.} and Herbert Chen and Scalea, {Thomas M.} and Diaz, {Jose J.}",
year = "2015",
month = "1",
day = "1",
language = "English (US)",
volume = "81",
pages = "829--834",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "8",

}

TY - JOUR

T1 - Emergency general surgery

T2 - Defining burden of disease in the State of Maryland

AU - Bruns, Brandon R.

AU - Tesoriero, Ronald

AU - Narayan, Mayur

AU - Klyushnenkova, Elena N.

AU - Chen, Herbert

AU - Scalea, Thomas M.

AU - Diaz, Jose J.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Acute care surgery services continue expanding to provide emergency general surgery (EGS) care. The aim of this study is to define the characteristics of the EGS population in Maryland. Retrospective review of the Health Services Cost Review Commission database from 2009 to 2013 was performed. American Association for the Surgery of Trauma-defined EGS ICD-9 codes were used to define the EGS population. Data collected included patient demographics, admission origin [emergency department (ED) versus non-ED], length of stay (LOS), mortality, and disposition. There were 3,157,646 encounters. In all, 817,942 (26%) were EGS encounters, with 76 per cent admitted via an ED. The median age of ED patients that died was 74 years versus 61 years for those that lived (P<0.001). Twenty one per cent of ED admitted patients had a LOS > 7 days. Of 78,065 non-ED admitted patients, the median age of those that died was 68 years versus 59 years for those that lived (P < 0.001). Twenty eight per cent of non-ED admits had LOS > 7 days. In both ED and non-ED patients, there was a bimodal distribution of death, with most patients dying at LOS ≤ 2 or LOS > 7 days. In this study, EGS diagnoses are present in 26 per cent of inpatient encounters in Maryland. The EGS population is elderly with prolonged LOS and a bimodal distribution of death.

AB - Acute care surgery services continue expanding to provide emergency general surgery (EGS) care. The aim of this study is to define the characteristics of the EGS population in Maryland. Retrospective review of the Health Services Cost Review Commission database from 2009 to 2013 was performed. American Association for the Surgery of Trauma-defined EGS ICD-9 codes were used to define the EGS population. Data collected included patient demographics, admission origin [emergency department (ED) versus non-ED], length of stay (LOS), mortality, and disposition. There were 3,157,646 encounters. In all, 817,942 (26%) were EGS encounters, with 76 per cent admitted via an ED. The median age of ED patients that died was 74 years versus 61 years for those that lived (P<0.001). Twenty one per cent of ED admitted patients had a LOS > 7 days. Of 78,065 non-ED admitted patients, the median age of those that died was 68 years versus 59 years for those that lived (P < 0.001). Twenty eight per cent of non-ED admits had LOS > 7 days. In both ED and non-ED patients, there was a bimodal distribution of death, with most patients dying at LOS ≤ 2 or LOS > 7 days. In this study, EGS diagnoses are present in 26 per cent of inpatient encounters in Maryland. The EGS population is elderly with prolonged LOS and a bimodal distribution of death.

UR - http://www.scopus.com/inward/record.url?scp=84938768062&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84938768062&partnerID=8YFLogxK

M3 - Article

C2 - 26215249

AN - SCOPUS:84938768062

VL - 81

SP - 829

EP - 834

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 8

ER -