{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T19:56:13Z","timestamp":1790279773990,"version":"4.1.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>High 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251337152","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T16:18:31Z","timestamp":1745252311000},"page":"1193-1202","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Social Vulnerability Index in Emergency General Surgery Outcomes: A Systematic Review"],"prefix":"10.1177","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9582-0922","authenticated-orcid":false,"given":"Anthony J.","family":"Duncan","sequence":"first","affiliation":[{"name":"University of North Dakota School of Medicine and Health Sciences, Department of Surgery, Fargo, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel J.","family":"Bloomsburg","sequence":"additional","affiliation":[{"name":"University of North Dakota School of Medicine and Health Sciences, Department of Surgery, Fargo, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mentor","family":"Ahmeti","sequence":"additional","affiliation":[{"name":"University of North Dakota School of Medicine and Health Sciences, Department of Surgery, Fargo, ND, USA"},{"name":"Sanford Medical Center Fargo, Department of Trauma and Acute Care Surgery, Fargo, ND, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"47","volume-title":"Regional Office for Europe, WHO Commission on Social Determinants of Health. Addressing the social determinants of health : the urban dimension and the role of local government","author":"World Health Organization","year":"2012","unstructured":"World Health Organization. Regional Office for Europe, WHO Commission on Social Determinants of Health. Addressing the social determinants of health : the urban dimension and the role of local government. Regional Office for Europe: World Health Organization; 2012:47."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/risa.12677"},{"issue":"10","key":"e_1_3_3_4_2","first-page":"34","article-title":"Measuring community vulnerability to natural and anthropogenic hazards: the centers for disease control and prevention's social vulnerability index","volume":"80","author":"Flanagan BE","year":"2018","unstructured":"Flanagan BE, Hallisey EJ, Adams E, Lavery A. Measuring community vulnerability to natural and anthropogenic hazards: the centers for disease control and prevention's social vulnerability index. 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