Whether risk adjustment for surgical urgency changes how safety net hospitals (SNHs) are rated on surgical site infection (SSI) rates after emergency colon surgery, compared to non-safety net hospitals.
Accounting for urgency in risk adjustment altered SSI performance classifications for safety net hospitals, suggesting that SNHs may be penalized under current models that do not fully adjust for emergency case burden.
The full text was not available for detailed extraction; specific sample sizes, effect sizes, and absolute SSI rates cannot be confirmed from the abstract alone. Generalizability may be limited by the dataset and time period used.
Clinicians and hospital administrators at safety net hospitals should be aware that SSI quality metrics for emergency colon surgery may not fairly account for the higher urgency burden these hospitals carry; advocacy for urgency-adjusted benchmarks is warranted.
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