Shock Index Predicts Outcomes in Major Abdominal Emergency Surgery Patients
Shock index (SI) is a valuable tool for predicting postoperative mortality, acute kidney injury (AKI), ICU admission, and ICU length of stay in major abdominal emergency surgery patients. Significant associations were found between SI and mortality at 1 month, 3 months, and 2 years. Multivariate analysis confirmed the relationship between SI and 1-month and 3-month mortality. SI does not significantly impact 2-year mortality, highlighting its relevance in short-term outcomes.
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).
Appendix, Gallbladder and Surgical Emergencies3 Nov 2026
