Patient reported outcomes of emergency general surgery procedures

Authors

Pawan J. Mathew, Section of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Yale School of Medicine, New Haven, CT, 06510, USA. Electronic address: pawan.mathew@yale.edu.
Yasmin M. Ali, Section of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Yale School of Medicine, New Haven, CT, 06510, USA.
Rick O'Connor, Section of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Yale School of Medicine, New Haven, CT, 06510, USA.Follow
Rachel Levinson, Yale School of Medicine, USA.
Ahmed Khan, Yale School of Medicine, USA.
Kevin M. Schuster, Section of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Yale School of Medicine, New Haven, CT, 06510, USA; Section of Trauma, Critical Care, Acute Care Surgery and Burn & Wound Care, Department of Surgery, Bridgeport Hospital, Bridgeport, CT, 06610, USA.Follow

Document Type

Article

Publication Title

American journal of surgery

Abstract

BACKGROUND: Emergency general surgery (EGS) involves care of a patient's often previously unknown disease in the setting of an unplanned interaction with the healthcare system. This leads to challenges collecting and interpreting patient reported outcome measures (PROMs). METHODS: We performed a qualitative and mixed methods study using semi-structured interviews during the index hospitalization and at 6-12 months to capture peri-operative patient experiences. We compared interview findings to clinical characteristics. RESULTS: Among 30 patients, two-thirds reported feeling no choice but to pursue emergency surgery with many reporting exclusion from decision-making. Females reported these themes more commonly. Patients with minor complications less frequently reported trust in their team and discussed communication issues and delays in care (all p ​< ​0.05). Patients with major complications more frequently reported confidence in their team and gratefulness, but also communication limitations (all p ​< ​0.05). Patients not admitted to the ICU more frequently discussed good communication and expeditious treatment. CONCLUSIONS: PROMs developed for EGS patients should consider patient outcomes and reflections that they felt excluded from decision-making. Severity of complications may also differentially impact PROMs.

First Page

118

Last Page

125

DOI

10.1016/j.amjsurg.2024.01.021

Publication Date

6-1-2024

Recommended Citation

Mathew, Pawan J.; Ali, Yasmin M.; O'Connor, Rick; Levinson, Rachel; Khan, Ahmed; and Schuster, Kevin M., "Patient reported outcomes of emergency general surgery procedures" (2024). Surgery. 20.
https://scholar.bridgeporthospital.org/surgery/20

Identifier

38413350 (pubmed); 10.1016/j.amjsurg.2024.01.021 (doi); S0002-9610(24)00023-0 (pii)