Social Vulnerability Index in Emergency General Surgery Outcomes: A Systematic Review.

IF 0.9 4区医学 Q3 SURGERY

American Surgeon Pub Date : 2025-07-01 Epub Date: 2025-04-21 DOI:10.1177/00031348251337152

Anthony J Duncan, Samuel J Bloomsburg, Mentor Ahmeti

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引用次数: 0

Abstract

BackgroundThe Social Vulnerability Index (SVI) has also been used as a measure of social determinants of health (SDOH), with several studies showing worse health outcomes in patients with higher burdens of SDOH. This systematic review focuses on the application of SVI in Emergency General Surgery (EGS), exploring the impact of patient vulnerability on individual health outcomes.MethodsA systematic literature search was conducted using PubMed, EMBASE and Web of Science. Inclusion criteria consisted of studies that were peer reviewed, obtainable in English, used SVI as a measurement applied to EGS. Of the initial 1216 papers 11 studies met inclusion criteria.ResultsHigh SVI is associated with increased mortality, respiratory, cardiac and bleeding complications, and readmissions. Acute cholecystitis showed higher SVI linked to an increased likelihood of requiring emergent cholecystectomy. Investigations into bowel-related surgeries show connections between high SVI and increased stoma creation and likelihood of emergent operations.ConclusionThere is evidence of correlation between SVI and a variety of poor outcomes in emergency general surgery patient. This suggests that SVI can serve as an indicator of high risk patients as well as allow there to be inventions in specific communities to improve health care outcomes.

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社会脆弱性指数在急诊普外科结果中的系统评价。

社会脆弱性指数（SVI）也被用作衡量健康的社会决定因素（SDOH），有几项研究表明，SDOH负担较高的患者的健康结果更差。本系统综述的重点是SVI在急诊普外科（EGS）中的应用，探讨患者脆弱性对个体健康结果的影响。方法利用PubMed、EMBASE和Web of Science进行系统的文献检索。纳入标准包括同行评议的研究，可获得英文版本，使用SVI作为适用于EGS的测量。在最初的1216篇论文中，有11篇研究符合纳入标准。结果高SVI与死亡率、呼吸、心脏和出血并发症以及再入院率升高相关。急性胆囊炎显示较高的SVI与需要紧急胆囊切除术的可能性增加有关。对肠道相关手术的调查显示，高SVI与增加的造口和紧急手术的可能性之间存在联系。结论急诊普外科患者SVI与多种不良预后有相关性。这表明SVI可以作为高风险患者的指标，并允许在特定社区进行发明以改善卫生保健结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Surgeon 医学-外科

CiteScore

1.40

自引率

0.00%

发文量

623

期刊介绍： The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.