The ACUTE committee of the French Society of Anesthesia and Intensive Care (SFAR), in consultation with surgical societies, has developed a national classification of surgical emergencies to define the ideal time to surgery for each indication.
The goal is to integrate this classification with a cognitive aid to improve patient triage and reduce waiting times for emergency surgery.
This classification will be presented at the 2026 SFAR Congress and as a practical decision-making tool.
A prospective, multicenter study will then evaluate its impact by measuring the rate of severe postoperative complications at 30 days using the Comprehensive Complication Index (CCI).
The study will include 2500 patients over two-week periods between February and June 2027.
Expected benefits include reduced patient morbidity and hospital stay, along with better emergency surgery planning and standardization across healthcare centers.
Adults (≥18 years) undergoing non-cardiac emergency surgery, defined as surgery with a preoperative anesthetic consultation performed less than 48 hours before the surgical procedure.
None
Adults under legal protection (guardianship, curatorship, or judicial safeguard) Patients who object to the reuse of their personal data for research purposes
Other
Prospective
Implementation of classification of surgical emergencies
Other interventionObservation of practices prior and after implementation of classification of surgical emergencies
Postoperative morbidity and mortality
Postoperative morbidity and mortality assessed using the Clavien-Dindo score and expressed on a continuous scale by the Comprehensive Complication Index (CCI) at 30 days (D30)Day 30
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