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Perspectives, Opinions and Curiosities ·

Postoperative Triage Matters: Undertriage Increases DNR Orders

Postoperative undertriage of high-acuity patients leads to higher rates of do-not-resuscitate orders and respiratory failure.

  • Patients on standard floors had a 7.2% transition to DNR status versus 2.8% in ICU.
  • Unplanned intubation rates were 12.1% in undertriaged patients compared to 7.1% in ICU counterparts.

Surgeons should prioritize optimal triage to prevent adverse outcomes and facilitate better patient management post-surgery.

  • In-hospital mortality was 7.0% among undertriaged patients versus just 1.1% in ICU.

Multicenter Study by Loftus TJ, Ruppert MM (…) Upchurch GR et 7 al. in J Am Coll Surg

Copyright © 2026 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

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