Table 2.
Indication | Urgency | Case Examples |
---|---|---|
Emergent | < 1 h |
• Life-threatening emergencies • Acute exsanguination/hemorrhagic shock • Trauma level 1 activations • Acute vascular injury or occlusion • Aortic dissection • Emergency C-section • Acute compartment syndrome • Necrotizing fasciitis • Peritonitis • Bowel obstruction/perforation |
Urgent | < 24 h |
• Appendicitis/cholecystitis • Septic arthritis • Open fractures • Bleeding pelvic fractures • Femur shaft fractures & hip fractures • Acute nerve injuries/spinal cord injuries • Surgical infections |
Urgent-elective | < 2 weeks |
• Cardiothoracic/cardiovascular procedures • Cerebral aneurysm repair • Vascular access devices • Skin grafts/flaps/wound closures • Scheduled C-section • Closed fractures • Spinal fractures & acetabular fractures |
Elective (essential) | 1–3 months |
• Cancer surgery & biopsies • Subacute cardiac valve procedures • Hernia repair • Hysterectomy • Reconstructive surgery |
Elective (discretionary) | > 3 months |
• Cosmetic surgery • Bariatric surgery • Joint replacement • Sports surgery • Vasectomy/tubal ligation • Infertility procedures |
Examples of surgical case types stratified by indication and urgency. From: Stahel PF. How to risk-stratify elective surgery during the COVID-19 pandemic?. Patient Saf Surg. 2020;14:8. Published 2020 Mar 31. doi:10.1186/s13037-020-00235-9