Open AccessInner Deliberations of Surgeons Treating Critically-ill Emergency General Surgery Patients
Author(s) -
Shreyus S. Kulkarni,
Alexandra Briggs,
Olivia A Sacks,
Matthew R. Rosengart,
Douglas B. White,
Amber E. Barnato,
Andrew B. Peitzman,
Deepika Mohan
Publication year - 2019
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/sla.0000000000003669
Subject(s) - medicine , vignette , psychological intervention , perioperative , general surgery , surgery , nursing , psychology , social psychology
30% of elderly patients who require emergency general surgery (EGS) die in the year after the operation. Preoperative discussions can determine whether patients receive preference-sensitive care. Theoretically, surgeons frame their conversations after systematically assessing the risks and benefits of management options based on the clinical characteristics of each case. However, little is known about how surgeons actually deliberate about those options.