Bedside exploratory laparotomy carries exceedingly high mortality, particularly in older patients with significant acidosis or identifiable intraoperative findings who face worse prognoses.
What factors are associated with mortality in critically ill patients undergoing bedside exploratory laparotomy?
In critically ill patients undergoing bedside exploratory laparotomy, older age and significant acidosis are associated with worse prognosis, emphasizing the importance of preoperative goals-of-care discussions.
Absolute Event Rate: 0% vs 0%
Bedside exploratory laparotomy is a last-resort intervention with exceedingly high mortality. We observed older patients with significant acidosis or identifiable intraoperative findings have worse prognoses. Preoperative goals-of-care discussions should be prioritized in elderly patients before proceeding with bedside exploration to ensure ethical delivery of surgical care.
Aubrey et al. (Wed,) reported a other. Bedside exploratory laparotomy carries exceedingly high mortality, particularly in older patients with significant acidosis or identifiable intraoperative findings who face worse prognoses.