PT  - JOURNAL ARTICLE
AU  - Joaquim Michael Havens
AU  - Alexandra B Columbus
AU  - Anupamaa J Seshadri
AU  - Carlos V R Brown
AU  - Gail T Tominaga
AU  - Nathan T Mowery
AU  - Marie Crandall
TI  - Risk stratification tools in emergency general surgery
AID  - 10.1136/tsaco-2017-000160
DP  - 2018 Apr 01
TA  - Trauma Surgery & Acute Care Open
PG  - e000160
VI  - 3
IP  - 1
4099  - http://tsaco.bmj.com/content/3/1/e000160.short
4100  - http://tsaco.bmj.com/content/3/1/e000160.full
AB  - The use of risk stratification tools (RST) aids in clinical triage, decision making and quality assessment in a wide variety of medical fields. Although emergency general surgery (EGS) is characterized by a comorbid, physiologically acute patient population with disparately high rates of perioperative morbidity and mortality, few RST have been explicitly examined in this setting. We examined the available RST with the intent of identifying a tool that comprehensively reflects an EGS patients perioperative risk for death or complication. The ideal tool would combine individualized assessment with relative ease of use. Trauma Scoring Systems, Critical Care Scoring Systems, Surgical Scoring Systems and Track and Trigger Models are reviewed here, with the conclusion that Emergency Surgery Acuity Score and the American College of Surgeons National Surgical Quality Improvement Programme Universal Surgical Risk Calculator are the most applicable and appropriate for EGS.