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March 29, 2026British journal of surgery

SRS83 Patey Prize Entrant - Textbook outcomes from trauma laparotomy in the South Wales Major Trauma Network—an observational cohort study

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Authors

GMGerard McKnightSwansea Bay University Health BoardDPDiane ParryAstraZeneca (United Kingdom)LHLucy HallCardiff and Vale University Health Board

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Overview

Observational cohort study reports 30-day mortality and factors affecting outcomes in trauma laparotomy patients, indicating risk factors for care improvement.

Key Points

  • This study aims to report outcomes of trauma laparotomy and analyze factors associated with mortality.
  • Observational cohort study conducted from 1/9/20 to 31/12/24
  • Included adult patients undergoing trauma laparotomy at the Major Trauma Centre
  • Data collected using a standardized form and analyzed with SPSS software
  • Chi-square and Kruskal-Wallis tests used for data analysis
  • 30-day mortality was found to be 11%, increasing to 16% for blunt trauma
  • 53% of patients achieved a Textbook Outcome
  • Blunt trauma mechanism and lower Glasgow Coma Scale (GCS) scores were linked to higher mortality
  • Diastolic blood pressure, base deficit, lactate levels, and hemoglobin were significantly associated with patient mortality

Cite This Study

McKnight et al. (2026) studied this question.

synapsesocial.com/papers/69c8c2a4de0f0f753b39d09chttps://doi.org/10.1093/bjs/znag018.003
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