Evaluating the impact of a rapid response system on survival of patients with cancer undergoing emergency surgery for acute abdomen: A single-center retrospective cohort study.

ABSTRACT: Patients with cancer who develop acute abdomen are at high risk of rapid clinical deterioration and often require emergency surgery and intensive care. This retrospective cohort study evaluated the impact of implementing a Rapid Response System (RRS) on survival among 274 patients admitted for emergency surgery at a tertiary cancer center in Korea (145 pre-RRS, 129 post-RRS). Although the post-RRS group had a higher burden of severe illness, including more metastatic disease and higher APACHE II scores, key time intervals from diagnosis to ICU admission, surgery, and antibiotic administration were significantly shorter following RRS implementation. The post-RRS group also demonstrated more favorable postoperative physiological trajectories, including lower postoperative day 7 SOFA scores a

SUBMITTER: Lee JH 

PROVIDER: S-EPMC12857990 | biostudies-literature | 2026

REPOSITORIES: biostudies-literature