Appendix, Gallbladder and Surgical Emergencies ·
Comparing outcomes in patients with exsanguinating injuries, a study found prioritizing circulation over intubation led to significantly lower 24-hour mortality (11.1% vs. 69.2%), reduced odds of mortality within 24h (91%), and at 30 days (89%), along with lower rates of renal failure and higher ARDS incidence. These results highlight the potential benefits of prioritizing circulation in managing such injuries.
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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).
After major emergency abdominal surgery, patients who develop lung complications face much higher death risk, most sharply in the first days.
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