Predicting Outcomes for Interhospital Transferred Patients of Emergency General Surgery
Table 2
Demographic and clinical characteristics of patients admitted to EGS from the ED and inpatient units.
Variables
From ED (A)
From inpatient units
From ICU (B)
From other inpatient units (C)
Total patients, N
175
280
253
NA
NA
Age (years), mean (SD)
61 (17)
60 (16)
56 (16)
0.48
0.002
Gender, N (%)
Male
86 (49)
159 (57)
111 (44)
0.11
0.28
Female
89 (51)
121 (43)
142 (56)
PMHx, N (%)
HTN
38 (22)
176 (63)
112 (44)
<0.001
<0.001
DM
47 (27)
80 (29)
61 (24)
0.69
0.52
CHF
14 (8)
18 (6)
19 (8)
0.52
0.85
Any liver disease
4 (2)
43 (15)
28 (11)
<0.001
0.001
Any kidney disease
17 (10)
24 (9)
17 (7)
0.68
0.26
Diagnoses, N (%)
Appendicitis
6 (3)
3 (1)
1 (1)
0.09
0.020
Bowel obstruction
26 (15)
24 (9)
31 (12)
0.037
0.44
Bowel perforation
4 (2)
26 (9)
9 (4)
0.003
0.45
Bowel ischemia
14 (8)
17 (6)
2 (1)
0.43
<0.001
GI bleeding
20 (11)
33 (12)
11 (4)
0.91
0.005
Fistula
5 (3)
16 (6)
20 (8)
0.16
0.029
Hernia
6 (3)
6 (2)
16 (6)
0.55
0.18
Intra-abdominal infection
23 (13)
47 (17)
34 (13)
0.30
0.93
Liver or gallbladder infection
5 (3)
22 (8)
32 (13)
0.028
<0.001
Pancreatitis
22 (13)
42 (15)
39 (15)
0.47
0.41
Perforated viscera
25 (14)
NA
NA
NA
NA
Other
19 (11)
43 (15)
58 (23)
0.17
0.001
Operation, N (%)
None
49 (28)
94 (34)
162 (64)
0.21
<0.001
Laparotomy
52 (30)
129 (46)
33 (13)
0.001
<0.001
Laparoscopy
11 (6)
13 (5)
38 (15)
0.45
0.005
Endoscopy
20 (11)
1 (1)
1 (1)
<0.001
<0.001
Percutaneous intervention by IR
10 (6)
10 (4)
2 (1)
0.28
0.005
I&D
8 (5)
4 (1)
6 (2)
0.07
0.21
Other
25 (14)
29 (9)
11 (4)
0.21
<0.001
Any operation prior to transfer, N (%)
NA
81 (29)
28 (11)
NA
NA
Statistical analysis of Group A (patients from ED) versus Group B (patients from ICU). Statistical analysis of Group A (patients from ED) versus Group C (patients from other inpatient units). Bold cells indicate statistically significant variables (). CHF: congestive heart failure; DM: diabetes mellitus; ED: emergency department; EGS: emergency general surgery; GI: gastrointestinal; HTN: hypertension; I&D: incision and drainage; ICU: intensive care unit; IR: interventional radiology; NA: not applicable; PMHx: past medical history; and SD: standard deviation.
