Appendix, Gallbladder and Surgical Emergencies ·
Study compares the performance of Need for Trauma Intervention (NFTI) and Cribari Methods (CM) for triaging injured patients. Results show NFTI has higher sensitivity, specificity, PPV, and NPV compared to CM. However, both methods have poor sensitivity in identifying severely injured trauma patients. Under-triage increases with patient age. Further research is needed to enhance triage accuracy.
Journal Article by Lenart EK, Byerly SE (…) Filiberto DM et 7 al. in Am Surg
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Early biliary drainage and same-admission cholecystectomy remain the core of care for acute cholangitis, but the timing of drainage is still debated.
Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.
Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).
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