Appendix 1: Emergency General Surgical Core Procedures* *Based on Shafi Et Al
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Appendix 1: Emergency general surgical core procedures* *Based on Shafi et al. Journal of Trauma Gastrointestinal Stomach Incision, Excision 43500-43641 Laparoscopy Diagnostic 49230 Other Gastrojejunostomy 43830 Repair Perforated Gastric / Duodenal Ulcer 43840 Splenectomy, Open 38100 Splenorrhaphy 38115 Repair Paraesophageal / Diaphragmatic hernia 39502 Exploratory Laparotomy 49000 Excision Meckel’s Diverticulum 44800 Small Bowel Resection, Anastomosis 44120 Small Bowel Resection, Enterostomy 44125 Appendectomy 44950 Appendectomy, Drainage Abscess 44960 Exploratory Laparoscopy – with/without Biopsies 49321 Appendectomy, Laparoscopic 44970 Gastrotomy 43500 Gastrojejunostomy 43820 Suture Repair Bleeding Ulcer 43501 Gastric Wedge Resection 43610 Hemi-Gastrectomy with/out Vagotomy 43632, 43635 Total Gastrectomy 43621 Vagotomy and Pyloroplasty 43640 Highly Selective Vagotomy 43641 Repair Perforated Gastric / Duodenal Ulcer 43840 Enterolysis (Lysis of Adhesions) 44005 Reduction Intussusecption 44050 Inguinal – Adult 49505 Inguinal Hernia, Laparoscopic – Adult 49650 Umbilical – Adult 49585 Femoral 49550 Ventral – Incisional – Initial/Recurrent 49560, 49565 Remove Infected Abdominal Mesh 11008 Repair Paraesophageal / Diaphragmatic hernia 39502 Colectomy, Anastomosis 44140 Partial Colectomy, Colostomy (Hartmann) 44143 Creation Enterostomy (Jejunostomy or Ileostomy) 44310 Creation Colostomy 44320 Debride or Excise Perineal Infection 11004 Excision Pilonidal Cyst / Sinus 11771 Drainage Intra-Abdominal Abscess (Not Appendiceal) 49020 Repair Complex Anorectal Fistulae 46707, 46710, 46712, 46288, 46270, 46280, 46275, 45562, 45563 – 45825 Closure Rectovaginal Fistula – Perineal Approach 57300 Closure Rectovaginal Fistula – Abdominal Approach 57305 Open Transabdominal Operation for Rectal Prolapse 45540, 45541, 45550 Laparoscopic Transabdominal Operation for Rectal Prolapse 45400, 45402 Perineal Operation for Rectal Prolapse 45540, 45541, 45550 Hidradenitis Excision* 11470, 11471 Colectomy with low Anterior Resection 44145, 44146 All Laparoscopic colon procedures including: 44202, 44204, 44205, 44206, 44207, 44208, 44210, (lap assisted, hand assisted, regardless of diagnosis 44211, 44212, 44213, 44227, 45395, 45397, 45400, Ileocolectomy, TAC/Ileostomy/IRA 45402 Sigmoid/Sleeve Resection, IPAA, etc.) Partial Colectomy, Anastomosis 44140 Partial Colectomy, Colostomy (Hartmann) 44143 Total Colectomy, Anastomosis 44150 Total Abdominal Colectomy, Ileostomy 44150 Colectomy, Laparoscopic 44204 Total Proctocolectomy with Ileostomy 44155 Creation Enterostomy (Jejunostomy or Ileostomy) 44310 Creation Colostomy 44320 Revision Enterostomy 44312 Revision Colostomy 44340 Takedown Colostomy 44626 Takedown Ileostomy 44620 Abdominoperineal Resection 44147 Ileocecectomy 44160 Low Anterior Resection 44145 Repair Enterotomy 44602 Reduction Intussusecption (colo) 44050 Hepatic-Pancreatic-Biliary Drainage Hepatic Abscess / Simple Cyst 47010 Drainage Hepatic Amoebic or Echinococcal Cyst / Abscess 47015 Cholecystectomy, Open 47600 Cholecystectomy, Laparoscopic 47562 Common Bile Duct Exploration 47420 Cholecystoenteric Anastomosis 47720 Choledochoenteric Anastomosis 47760 Drainage / Debride Infection 48005 Internal Drainage Pseudocyst 48520 External Drainage Pseudocyst 48510 Drainage Hepatic Abscess / Simple Cyst 47010 Drainage Hepatic Amoebic or Echinococcal Cyst / Abscess 47015 Common Bile Duct Exploration 47420 Cholecystoenteric Anastomosis 47720 Choledochoenteric Anastomosis 47760 Vascular Thromboembolectomy 34201 Amputation – Guillotine 27882 Upper Extremity Fasciotomy 25024 Lower Extremity Fasciotomy 27602 Excision Aneurysm, Upper Extremity 35011 Excision Aneurysm, Lower Extremity 35141 Repair Aneurysm Abdominal Aorta 35081 Endarterectomy, Aortoiliofemoral 35363 Axillo – Femoral Bypass 35521 Femoro – Femoral Bypass 35558 Femoro – Popliteal Bypass 35556 Femoro – Tibial Bypass 35566 Mesenteric Revascularization Procedures 35480 *Hidradenitis Excision was intentionally included with ``Gastrointestinal'' rather than ``Hepato-biliary-pancreatic'' or ``Vascular.'' Appendix 2: Description of tests OBS=Alive/Dead EXP=Mortprob Observed/Expected Test: Appendix 3: Definitions of emergency and elective status Below are the relevant portions of definitions of the ``Emergency'' and ``Elective'' variables taken as examples from the User Guide for the 2012 ACS-NSQIP Participant Use Data File.[12] For the variable Emergency, the emergency case variable distinguishes between urgent/semielective/elective cases and true emergent surgeries. Urgent/semi-elective cases are not considered emergencies. Assign 'YES' if the surgeon and/or anesthesiologist report the case as emergent. For the variable Elective, ``YES'' is entered if the patient is brought to the hospital or facility for a scheduled (elective) surgery from their home or normal living situation on the day that the procedure is performed. ENTER NO (Exclude) FOR the following: patients who are inpatient at an acute care hospital (example: patient transferred from another acute care hospital to your hospital for surgery) patients who are transferred from an ED patients who are transferred from a clinic patients who undergo an emergent/urgent surgical case patients admitted to the hospital on the day(s) prior to a scheduled procedure for any reason (e.g. cardiac or pulmonary workup or ``tuning'', bowel cleanout, TPN, hydration, anticoagulation reversal etc.) ENTER YES (Include) FOR the following: patients staying with friends or family, or in a local hotel, because of logistics (example: patient lives 50 miles from the hospital and stays in a hotel across from the hospital the night before their scheduled (elective) surgery) patients who come from their present ``home'' (which may include patients whose home is a nursing home, assisted care facility, prison or other nonhospital institution) .