Abstract
Failure to rescue （FTR） is becoming a widespread indicator of hospital quality, but there are few reports in the field of acute care surgery. We investigated the FTR of emergency surgery for the elderly. We conducted a retrospective study of 231 patients aged 65 years or older who underwent postoperative intensive care （Surgical critical care） among the abdominal emergency general surgery （AEGS） experienced at our hospital for 6 years. Postoperative complication rate was 62.3％ and FTR was 32.6％. Significant risk factors for FTR were age ≥80 years, Charlson Comorbidity Index ≥4, 2 or more complications, cardiac arrest at the time of complication, and intensive care after complication. Elderly patients with many comorbidities had a high FTR rate, suggesting the importance of early detection and intensive care management to reduce FTR.
