Improved Risk Models for Emergency Bowel Cancer Surgery Using Electronic Health Records

Linked electronic health records were used to develop a risk model for 90-day mortality in patients undergoing emergency colorectal cancer (CRC) surgery. The selected model, which included additional physiological and surgical measures along with patient and tumor characteristics, showed considerably better discrimination compared to the basic model. The inclusion of these measures improved the accuracy of predicting mortality risk for CRC patients having emergency surgery, allowing for more accurate performance monitoring and enhanced clinical care planning.