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).
- Early surgery (within 60 days) occurred in 52.4% of these patients.
- Delayed surgery was also linked to fewer thromboembolic, cardiac, and respiratory complications, lower readmission, and lower resource use.
Where it fits: When clinically feasible, timing after pulmonary embolism deserves weight in planning emergency surgery. This retrospective national database study shows an association, not proof that delay causes the benefit, so it cannot override urgent surgical need.
Journal Article by Mehta D, Mallick S (…) Benharash P et 7 al. in J Am Coll Surg
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