First do no harm: Predicting futility of intervention in geriatric emergency general surgery.

Emanuele LagazziAlisha YiIkemsinachi C NzenwaVahe S PanossianWardah RafaqatMay AbiadAnne H HoekmanSuzanne ArnoldCasey M LuckhurstJonathan J ParksGeorge C VelmahosHaytham M A KaafaraniJohn O Hwabejire

Published in: American journal of surgery (2024)

In older adults undergoing emergent open abdominal surgery, septic shock, ASA status, and dialysis were strongly associated with futility of surgical intervention. These findings can inform goals of care and informed decision-making.

Keyphrases

septic shock
randomized controlled trial
decision making
healthcare
emergency department
chronic kidney disease
public health
palliative care
physical activity
minimally invasive
quality improvement
end stage renal disease
affordable care act
health insurance