Why the study?
Patients with suspected bowel obstruction, gastrointestinal perforation, and mesenteric ischaemia represent a high-risk group frequently presenting with systemic inflammatory response, sepsis, or septic shock.
Does a bundle of care for acute abdominal pain reduce mortality and improve outcomes after surgery in high-risk patients?
Does a bundle of care for acute abdominal pain reduce mortality and improve outcomes after surgery in high-risk patients?
A bundle of care for acute abdominal pain, including rapid diagnosis and parallel resuscitation, is recommended to reduce mortality in high-risk patients.
Answers are grounded in this paper and cite their sources.
May support care bundles in high-risk acute abdominal pain; leaves open need for randomized confirmation.
WHAT?: A bundle of care for acute abdominal pain has two components that run in parallel-a diagnostic pathway to quickly arrive at a diagnosis and thereby provide the opportunity for source control, and a parallel pathway of resuscitation and optimization before surgery.• WHY?: Patients with a clinical suspicion of bowel obstruction, gastrointestinal perforation, and mesenteric ischaemia represent a high-risk group and demand special attention.Patients are often older, have co-morbidities, and 30-50 per cent present with systemic inflammatory response, sepsis, or septic shock.The bundle should be initiated immediately to reduce mortality and improve outcomes after surgery.
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Kokotovic et al. (2023) studied this question.
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