Abstract

After decades of emphasis on cancer targets and waiting times for elective surgery, attention is now focused firmly on emergency surgery. Once described as a Cinderella specialty within general surgery owing to under-investment, there is now a clear appetite both from the commissioners and the RCS to address the poor outcomes in this area. Yet the data available on the current state of provision of emergency surgery are sparse. Recently an alarming variation in mortality between 3.6% and 41.7% among 35 trusts in UK has been revealed. This paper also began to identify factors responsible for this, including consultant availability, high-dependency unit (HDU) beds, lack of goal-directed fluid management.

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