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Patients treated at hospitals that earned American College of Surgeons (ACS) Emergency General Surgery Verification demonstrated lower 30-day death rates and experienced shorter hospital stays after their hospitals earned verification, according to an analysis published in JAMA Surgery. The analysis included more than 20,000 patients who underwent emergency general surgery at 55 hospitals, five of which became verified during the study period.
Emergency general surgery treats urgent and often life-threatening conditions such as appendicitis, gallbladder disease and bowel obstruction. Patients often need surgery with little warning, and their care requires several clinical teams to work together. These patients face some of the highest complication and mortality rates, and previous research has found rising death rates from some emergency surgical conditions among adults younger than 65, particularly in rural areas.
"Emergency surgery patients arrive with a wide range of conditions and levels of illness, often with little time to plan their care," said Michael Wandling, M.D., M.S., FACS, a study co-author and chief of trauma at The University of Texas in Houston, Texas. "This is an important patient population where there is a huge opportunity to improve care, and how hospitals deliver that care can make a big difference."
The Emergency General Surgery Verification Program (EGS-VP), developed by the ACS in 2022 with the American Association for the Surgery of Trauma, provides hospitals with standards and infrastructure to manage this high-risk patient population to improve clinical and financial outcomes.
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