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[PMID]: 29191360 [Au] Autor: Fricke TA; Lee MGY; Brink J; d'Udekem Y; Brizard CP; Konstantinov IE [Ad] Endereço: Department of Cardiothoracic Surgery, The Royal Children's Hospital, Melbourne, Australia; University of Melbourne, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia. [Ti] Título: Early Mentoring of Medical Students and Junior Doctors on a Path to Academic Cardiothoracic Surgery. [So] Source: Ann Thorac Surg;105(1):317-320, 2018 Jan. [Is] ISSN: 1552-6259 [Cp] País de publicação: Netherlands [La] Idioma: eng [Ab] Resumo: BACKGROUND: In 2005 the Department of Cardiothoracic Surgery at The Royal Children's Hospital started an early academic mentoring program for medical students and junior doctors with the aim of fostering an interest in academic surgery. METHODS: Between 2005 and 2015, 37 medical students and junior doctors participated in research in the Department of Cardiothoracic Surgery at The Royal Children's Hospital. Each was given an initial project on which to obtain ethics approval, perform a literature review, data collection, statistical analysis, and prepare a manuscript for publication. A search of the names of these former students and doctors was conducted on PubMed to identify publications. RESULTS: A total of 113 journal articles were published in peer-reviewed journals with an average impact factor of 4.1 (range, 1.1 to 19.9). Thirty (30 of 37, 81%) published at least one article. A mean of 4.3 journal articles was published per student or junior doctor (range, 0 to 29). Eleven (11 of 37, 30%) received scholarships for their research. Nine (9 of 37, 24%) have completed or are enrolled in higher research degrees with a cardiothoracic surgery focus. Of these 9, 2 have completed doctoral degrees while in cardiothoracic surgery training. Five will complete their cardiothoracic surgery training with a doctoral degree and the other 2 are pursuing training in cardiology. CONCLUSIONS: A successful early academic mentoring program in a busy cardiothoracic surgery unit is feasible. Mentoring of motivated individuals in academic surgery benefits not only their medical career, but also helps maintain high academic output of the unit. [Mh] Termos MeSH primário: Educação Médica Tutoria Cirurgia Torácica/educação [Mh] Termos MeSH secundário: Feminino Seres Humanos Masculino Corpo Clínico Hospitalar Especialidades Cirúrgicas Estudantes de Medicina [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171228 [Lr] Data última revisão: 171228 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 171202 [St] Status: MEDLINE

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[PMID]: 29176812 [Au] Autor: Kleinert R; Fuchs C; Romotzky V; Knepper L; Wasilewski ML; Schröder W; Bruns C; Woopen C; Leers J [Ad] Endereço: Department of General-, Visceral- and Cancer Surgery, University of Cologne, Cologne, Germany. [Ti] Título: Generation Y and surgical residency - Passing the baton or the end of the world as we know it? Results from a survey among medical students in Germany. [So] Source: PLoS One;12(11):e0188114, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: INTRODUCTION: The current student generation have their own expectations toward professional life and pay particular attention to their work-life balance. Less interest in work-intensive specialties leads to a shortage of skilled candidates especially in surgery. In order to motivate students into a surgical residency, new priorities become important. A deeper understanding of the underlying arguments and students' expectations towards a surgical training are necessary to counteract a future shortage of specialized surgeons. METHODS: We conducted an internet-based survey among medical students at two representative German university hospitals to gain more information about the underlying mechanisms that lead to opting for and against a surgical career. We particularly paid attention to gender differences and differences between students of different academic years. RESULTS: A total of 1098 students participated in the survey. Sixty-four percent were female. The majority of the students were of the opinion that surgery is an interesting and meaningful profession. In contrast, when it comes to their own career choice, most students (89% female and 81% male) are not willing to choose a surgical specialty. While students are certainly willing to spend a large amount of time on their professional lives, at the same time they demand planning reliability and a sufficient work-life balance. Flexibility in working hours and an existing childcare program were identified as predominant factors for all students and in particular for female students. The same applies to a respectful conversional tone and appreciation of the individual work. Factors like prestige and salary were less relevant than "self-fulfillment" in terms of respectful interaction and balancing their working and private lives. There was significant difference in female and male students as female students have clearer ideas concerning career planning but at the same time are less self-confident than their male colleagues. Moreover, there was a significant difference between junior and senior students regarding career planning with a shift to less work-intensive specialties and especially away from a surgical residency in older students. Adjustments to working hours models, working environment, clinical curriculum and a respectful interaction are factors that might increase the willingness of young students to choose a surgical career. [Mh] Termos MeSH primário: Internato e Residência Especialidades Cirúrgicas Estudantes de Medicina Inquéritos e Questionários [Mh] Termos MeSH secundário: Adulto Feminino Alemanha Seres Humanos Masculino [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 171219 [Lr] Data última revisão: 171219 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171128 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0188114

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[PMID]: 29078918 [Au] Autor: Greenberg CC [Ad] Endereço: Department of Surgery, Wisconsin Surgical Outcomes Research Program, University of Wisconsin, Madison, Wisconsin. Electronic address: greenberg@surgery.wisc.edu. [Ti] Título: Association for Academic Surgery presidential address: sticky floors and glass ceilings. [So] Source: J Surg Res;219:ix-xviii, 2017 Nov. [Is] ISSN: 1095-8673 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: This 2017 Presidential Address for the Association for Academic Surgery was delivered on February 8, 2017. It addresses the difficult topic of gender disparities in surgery. Mixing empirical data with personal anecdotes, Dr. Caprice Greenberg provides an insightful overview of this difficult challenge facing the surgical discipline and practical advice on how we can begin to address it. [Mh] Termos MeSH primário: Mobilidade Ocupacional Médicas Sexismo Especialidades Cirúrgicas Cirurgiões [Mh] Termos MeSH secundário: Docentes de Medicina/ética Docentes de Medicina/organização & administração Docentes de Medicina/psicologia Docentes de Medicina/estatística & dados numéricos Feminino Identidade de Gênero Seres Humanos Liderança Masculino Papel do Médico Médicas/ética Médicas/organização & administração Médicas/psicologia Médicas/estatística & dados numéricos Salários e Benefícios/estatística & dados numéricos Sexismo/ética Sexismo/prevenção & controle Sexismo/psicologia Sexismo/estatística & dados numéricos Sociedades Médicas/ética Sociedades Médicas/organização & administração Sociedades Médicas/estatística & dados numéricos Especialidades Cirúrgicas/ética Especialidades Cirúrgicas/organização & administração Especialidades Cirúrgicas/estatística & dados numéricos Cirurgiões/ética Cirurgiões/organização & administração Cirurgiões/psicologia Cirurgiões/estatística & dados numéricos Estados Unidos Direitos da Mulher/ética Direitos da Mulher/organização & administração Direitos da Mulher/estatística & dados numéricos [Pt] Tipo de publicação: ADDRESSES; JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171109 [Lr] Data última revisão: 171109 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171029 [St] Status: MEDLINE

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[PMID]: 28985865 [Au] Autor: Hazboun R; Rodriguez S; Thirumoorthi A; Baerg J; Moores D; Tagge EP [Ad] Endereço: Division of Pediatric Surgery, Department of Surgery, School of Medicine, Loma Linda University, Loma Linda, California. [Ti] Título: Personality traits within a pediatric surgery fellowship applicant pool. [So] Source: J Surg Res;218:298-305, 2017 Oct. [Is] ISSN: 1095-8673 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: The Big Five framework examines five factors that represent a description of human personality. These factors correlate with success measures and job satisfaction. The Big Five Inventory is a 44-item instrument designed to measure the Big Five framework. Our aim was to document the distribution of Big Five personality traits among Pediatric Surgery fellowship applicants, compare with community norms, surgical residents, between genders, and correlate to the fellowship match results. MATERIALS AND METHODS: Forty Pediatric Surgery fellowship applicants at a university hospital completed the Big Five Inventory during the interview process. It was analyzed and compared with general surgery residents' results and community norms. The data were compared regarding gender and match results. Continuous variables were compared by unpaired t-tests and Mann-Whitney tests. A P value <0.05 was considered significant. RESULTS: The 40 applicants were equally divided between male and female. When compared with general surgery residents and community norms, applicants of both genders scored higher on agreeableness (P < 0.01), conscientiousness (P < 0.01), and emotional stability (P < 0.01). Applicants scored higher on openness when compared with surgical residents (P < 0.01). Male applicants scored higher on emotional stability than females (P = 0.026). Matched applicants scored higher for conscientiousness than unmatched applicants (P = 0.016). CONCLUSIONS: Pediatric Surgery fellowship applicants expressed higher levels of desirable professional traits compared with general surgery residents and community norms. Male applicants demonstrated higher emotional stability than females. Conscientiousness was higher in matching applicants. This first reported experience with personality testing in Pediatric Surgery fellow selection demonstrated potential utility in applicant matching. [Mh] Termos MeSH primário: Testes de Personalidade/estatística & dados numéricos [Mh] Termos MeSH secundário: Feminino Seres Humanos Masculino Pediatria/estatística & dados numéricos Especialidades Cirúrgicas/estatística & dados numéricos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171024 [Lr] Data última revisão: 171024 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171008 [St] Status: MEDLINE

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[PMID]: 28985864 [Au] Autor: Yorkgitis BK; Bryant EA; Brat GA; Kelly E; Askari R; Ra JH [Ad] Endereço: Division of Acute Care Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida. Electronic address: brian.yorkgitis2@jax.ufl.edu. [Ti] Título: Ultrasonography training and utilization in surgical critical care fellowships: a program director's survey. [So] Source: J Surg Res;218:292-297, 2017 Oct. [Is] ISSN: 1095-8673 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Intensivist-performed ultrasound (IPUS) is an adjunctive tool used to assist in resuscitation and management of critically ill patients. It allows clinicians real-time information through noninvasive methods. We aimed to evaluate the types of IPUS performed and the methods surgical critical care (SCC) fellows are trained along with challenges in training. METHODS: One hundred SCC fellowship directors were successfully sent an email inviting them to participate in a short Web-based survey. We inquired about program characteristics including hospital type, fellowship size, faculty size and training, dedicated surgical critical care beds, and ultrasound equipment availability. The survey contained questions regarding the program directors' perception on importance on cost effectiveness of IPUS, types of IPUS examinations performed, fellows experience with IPUS, challenges to training, and presence and methods of quality assurance (QA) programs. RESULTS: A total of 38 (38.0%) program directors completed the survey. Using a 100-point Likert scale, the majority of the respondents indicated that IPUS is important to patient care in the SICU and is cost-effective (mean score 85.5 and 84.6, respectively). Most (34, 89.5%) utilize IPUS and conduct a mean of 5.1 different examination types with FAST being the most prevalent examination (33, 86.8%). Thirty-three (86.8%) programs include IPUS in their SCC training with varying amounts of time spent training. Of these programs, 19 (57.6%) have a specific curriculum. The most frequently used modalities for training fellows were informal bedside teaching (28, 84.8%), hands-on lectures (20, 60.6%) and formal lectures (19, 57.6%). The top three challenges program directors cited for IPUS education was time (23, 69.7%), followed by concerns for ongoing QA (19, 57.6%) and lack of faculty trained in IPUS (18, 53.9%). Only 20 (60.6%) programs review images as a part of QA/quality improvement. CONCLUSIONS: Utilization and training of IPUS is common in SCC fellowships. There is varied education type and training time devoted to IPUS which could lead to gaps in knowledge and care. Development of a standard curriculum for SCC fellowships could assist surgical intensivists in achieving a base of knowledge in IPUS to create a more homogenously trained workforce and standards of care. [Mh] Termos MeSH primário: Cuidados Críticos/estatística & dados numéricos Especialidades Cirúrgicas/educação Ultrassonografia/utilização [Mh] Termos MeSH secundário: Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171024 [Lr] Data última revisão: 171024 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171008 [St] Status: MEDLINE

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[PMID]: 28892324 [Au] Autor: Paramo JC; Puls MW; Welsh DJ; Andreone P [Ti] Título: 2016 ACS Governors Survey: Will acute care surgery change the surgical landscape? [So] Source: Bull Am Coll Surg;102(5):28-34, 2017 05. [Is] ISSN: 0002-8045 [Cp] País de publicação: United States [La] Idioma: eng [Mh] Termos MeSH primário: Cuidados Críticos/tendências Cirurgia Geral/tendências Especialidades Cirúrgicas/tendências Traumatologia/tendências [Mh] Termos MeSH secundário: Seres Humanos Inquéritos e Questionários Estados Unidos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171010 [Lr] Data última revisão: 171010 [Sb] Subgrupo de revista: H [Da] Data de entrada para processamento: 170912 [St] Status: MEDLINE

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[PMID]: 28807205 [Au] Autor: Cromeens BP; Ray WC; Hoehne B; Abayneh F; Adler B; Besner GE [Ad] Endereço: Department of General Pediatric Surgery, Nationwide Children's Hospital, Columbus, Ohio. [Ti] Título: Facilitating surgeon understanding of complex anatomy using a three-dimensional printed model. [So] Source: J Surg Res;216:18-25, 2017 Aug. [Is] ISSN: 1095-8673 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: 3-dimensional prints (3DP) anecdotally facilitate surgeon understanding of anatomy and decision-making. However, the actual benefit to surgeons or patients has not been quantified. This study investigates how surgeon understanding of complex anatomy is altered by a 3DP compared to computed tomography (CT) scan or CT + digital reconstruction (CT + DR). MATERIALS AND METHODS: Key anatomic features were segmented from a CT-abdomen/pelvis of pygopagus twins to build a DR and printed in color on a 3D printer. Pediatric surgery trainees and attendings (n = 21) were tested regarding anatomy identification and their understanding of point-to-point distances, scale, and shape. RESULTS: There was no difference between media regarding point-to-point distances. The 3DP led to an increased number of correct answers for questions of scale and shape compared to CT (P < 0.05). CT + DR performance was intermediate but not statistically different from 3DP or CT. Identification of anatomy was inconsistent between media; however, answers were significantly closer to correct when using the 3DP. Participants completed the test faster with the 3DP (6.6 ± 0.5 min) (P < 0.05) than with CT (18.9 ± 2.5 min) or CT + 3DR (14.9 ± 1.5 min). CONCLUSIONS: Although point-to-point measurements were not different, 3DP increased the understanding of shape, scale, and anatomy. It enabled understanding significantly faster than other media. In difficult surgical cases with complex anatomy and a need for efficient multidisciplinary coordination, 3D printed models should be considered for surgical planning. [Mh] Termos MeSH primário: Abdome/anatomia & histologia Modelos Anatômicos Pediatria/educação Pelve/anatomia & histologia Impressão Tridimensional Especialidades Cirúrgicas/educação Gêmeos Unidos [Mh] Termos MeSH secundário: Competência Clínica Seres Humanos Imagem Tridimensional Ohio Tomografia Computadorizada por Raios X [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171003 [Lr] Data última revisão: 171003 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170816 [St] Status: MEDLINE

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[PMID]: 28767919 [Au] Autor: Costa ADS [Ad] Endereço: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. [Ti] Título: Assessment of operative times of multiple surgical specialties in a public university hospital. [So] Source: Einstein (Sao Paulo);15(2):200-205, 2017 Apr-Jun. [Is] ISSN: 2317-6385 [Cp] País de publicação: Brazil [La] Idioma: eng; por [Ab] Resumo: Objective: To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. Methods: It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7:00 a.m. and 5 p.m., either elective or emergency. We calculated the 80th percentile of the stages, where 80% of procedures were below this value. Results: The study measured 8,337 operations of 12 surgical specialties performed within one year. The overall mean duration of anesthesia of all specialties was 178.12±110.46 minutes, and the 80th percentile was 252 minutes. The mean operative time was 130.45±97.23 minutes, and the 80th percentile was 195 minutes. The mean total time of the patient in the operating room was 197.30±113.71 minutes, and the 80th percentile was 285 minutes. Thus, the variation of the overall mean compared to the 80th percentile was 41% for anesthesia, 49% for surgeries and 44% for operating room time. In average, anesthesia took up 88% of the operating room period, and surgery, 61%. Conclusion: This study identified patterns in the duration of surgery stages. The mean values of the specialties can assist with operating room planning and reduce delays. Objetivo: Avaliar os indicadores de tempo da anestesia, da operação e da permanência do paciente em sala de diversas especialidades do centro cirúrgico de um hospital universitário. Métodos: Foi realizado em estudo descritivo transversal a partir da base de dados do centro cirúrgico e mensuradas as seguintes etapas: duração de anestesia, tempo do procedimento e tempo de permanência do paciente em sala das diversas especialidades. Foram incluídas as operações realizadas em sequência na mesma sala, das 7h às 17h, eletivas ou de urgências. Realizamos o calculo do percentil 80 da duração das etapas, onde 80% dos procedimentos ficaram abaixo deste valor obtido. Resultados: O estudo incluiu 8.337 operações realizadas no período de 1 ano de 12 especialidades cirúrgicas. A média geral da duração da anestesia de todas as especialidades foi de 178,12±110,46 minutos, e o percentil 80 foi de 252 minutos. A média do tempo operatório foi 130,45±97,23 minutos, e o percentil 80 foi de 195 minutos. A média do tempo total do paciente em sala operatória foi de 197,30±113,71 minutos, e o percentil 80 foi de 285 minutos. A variação da média geral em relação ao percentil 80 foi de 41% na anestesia, 49% nas operações e 44% no tempo de sala. Na média geral, a anestesia ocupou 88% do tempo de sala e a operação, 61%. Conclusão: Este estudo identificou padrões nas durações das etapas das operações. A informação das médias históricas das especialidades pode auxiliar no planejamento do centro cirúrgico e diminuir os atrasos. [Mh] Termos MeSH primário: Hospitais Públicos/estatística & dados numéricos Hospitais Universitários/estatística & dados numéricos Duração da Cirurgia Especialidades Cirúrgicas/estatística & dados numéricos [Mh] Termos MeSH secundário: Anestesia/estatística & dados numéricos Brasil Estudos Transversais Seres Humanos Salas Cirúrgicas/estatística & dados numéricos Indicadores de Qualidade em Assistência à Saúde/organização & administração Gerenciamento do Tempo/organização & administração [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170928 [Lr] Data última revisão: 170928 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170803 [St] Status: MEDLINE

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[PMID]: 28760467 [Au] Autor: Meyerson SL; Sternbach JM; Zwischenberger JB; Bender EM [Ad] Endereço: Division of Thoracic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Electronic address: smeyerso@nm.org. [Ti] Título: Resident Autonomy in the Operating Room: Expectations Versus Reality. [So] Source: Ann Thorac Surg;104(3):1062-1068, 2017 Sep. [Is] ISSN: 1552-6259 [Cp] País de publicação: Netherlands [La] Idioma: eng [Ab] Resumo: BACKGROUND: There is concern about graduating thoracic trainees' independent operative skills due to limited autonomy in training. This study compared faculty and trainee expected levels of autonomy with intraoperative measurements of autonomy for common cardiothoracic operations. METHODS: Participants underwent frame-of-reference training on the 4-point Zwisch scale of operative autonomy (show and tell → active help → passive help → supervision only) and evaluated autonomy in actual cases using the Zwisch Me!! mobile application. A separate "expected autonomy" survey elicited faculty and resident perceptions of how much autonomy a resident should have for six common operations: decortication, wedge resection, thoracoscopic lobectomy, coronary artery bypass grafting, aortic valve replacement, and mitral valve repair. RESULTS: Thirty-three trainees from 7 institutions submitted evaluations of 596 cases over 18 months (March 2015 to September 2016). Thirty attendings subsequently provided their evaluation of 476 of those cases (79.9% response rate). Expected autonomy surveys were completed by 21 attendings and 19 trainees from 5 institutions. The six operations included in the survey constituted 47% (226 of 476) of the cases evaluated. Trainee and attending expectations did not differ significantly for senior trainees. Both groups expected significantly higher levels of autonomy than observed in the operating room for all six types of cases. CONCLUSIONS: Although faculty and trainees both expect similar levels of autonomy in the operating room, real-time measurements of autonomy show a gap between expectations and reality. Decreasing this gap will require a concerted effort by both faculty and residents to focus on the development of independent operative skills. [Mh] Termos MeSH primário: Procedimentos Cirúrgicos Cardíacos/educação Competência Clínica Cirurgia Geral/educação Internato e Residência/métodos Autonomia Profissional Especialidades Cirúrgicas/educação Inquéritos e Questionários [Mh] Termos MeSH secundário: Seres Humanos Relações Interprofissionais Salas Cirúrgicas [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170914 [Lr] Data última revisão: 170914 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170802 [St] Status: MEDLINE

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[PMID]: 28738944 [Au] Autor: Burgess JR; Smith B; Britt R; Weireter L; Polk T [Ti] Título: Predicting Postoperative Complications for Acute Care Surgery Patients Using the ACS NSQIP Surgical Risk Calculator. [So] Source: Am Surg;83(7):733-738, 2017 Jul 01. [Is] ISSN: 1555-9823 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) risk calculator has been used to assist surgeons in predicting the risk of postoperative complications. This study aims to determine if the risk calculator accurately predicts complications in acute care surgical patients undergoing laparotomy. A retrospective review was performed on all patients on the acute care surgery service at a tertiary hospital who underwent laparotomy between 2011 and 2012. The preoperative risk factors were used to calculate the estimated risks of postoperative complications in both the original ACS NSQIP calculator and updated calculator (June 2016). The predicted rate of complications was then compared with the actual rate of complications. Ninety-five patients were included. Both risk calculators accurately predicted the risk of pneumonia, cardiac complications, urinary tract infections, venous thromboembolism, renal failure, unplanned returns to operating room, discharge to nursing facility, and mortality. Both calculators underestimated serious complications (26% vs 39%), overall complications (32.4% vs 45.3%), surgical site infections (9.3% vs 20%), and length of stay (9.7 days versus 13.1 days). When patients with prolonged hospitalization were excluded, the updated calculator accurately predicted length of stay. The ACS NSQIP risk calculator underestimates the overall risk of complications, surgical infections, and length of stay. The updated calculator accurately predicts length of stay for patients <30 days. The acute care surgical population represents a high-risk population with an increased rate of complications. This should be taken into account when using the risk calculator to predict postoperative risk in this population. [Mh] Termos MeSH primário: Laparotomia Complicações Pós-Operatórias/epidemiologia Melhoria de Qualidade Medição de Risco [Mh] Termos MeSH secundário: Doença Aguda Feminino Seres Humanos Tempo de Internação/estatística & dados numéricos Masculino Meia-Idade Reprodutibilidade dos Testes Estudos Retrospectivos Sociedades Médicas Especialidades Cirúrgicas [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170907 [Lr] Data última revisão: 170907 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170726 [St] Status: MEDLINE

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