Why the study?
Do risk stratification models accurately predict operative risk and inevitable death in patients undergoing emergency laparotomy?
Do risk stratification models accurately predict operative risk and inevitable death in patients undergoing emergency laparotomy?
Risk models derived from a national surgical database can accurately stratify operative risk in emergency laparotomy, assisting in end-of-life and futility discussions.
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May inform futility discussions in emergency laparotomy; leaves open prospective validation before routine use.
The models developed in this study have a high discriminative ability to stratify the operative risk in a broad range of acute abdominal emergencies. These data will assist surgeons, patients, and their families in making end-of-life decisions in the face of medical futility with greater certainty when emergency surgery is being contemplated.
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Al-Temimi et al. (2012) studied this question.
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