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Emergency Surgery, Multimorbidity and Hospital-Free Days: A Retrospective Observational Study.


ABSTRACT:

Introduction

Analyzing hospital-free days (HFDs) offers a patient-centered approach to health services research. We hypothesized that, within emergency general surgery (EGS), multimorbidity would be associated with fewer HFDs, whether patients were managed operatively or nonoperatively.

Methods

EGS patients were identified using national Medicare claims data (2015-2018). Patients were classified as multimorbid based on the presence of a Qualifying Comorbidity Set and stratified by treatment: operative (received surgery within 48 h of index admission) and nonoperative. HFDs were calculated through 180 d, beginning on the day of index admission, as days alive and spent outside of a hospital, an Emergency Department, or a long-term acute care facility. Univariate comparisons we

SUBMITTER: Rosen CB 

PROVIDER: S-EPMC10530175 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature