Why the study?
Emergency laparotomy carries high morbidity and mortality despite recent improvements, and the influence of the National Emergency Laparotomy Audit on temporal trends needed evaluation.
Does the implementation of the National Emergency Laparotomy Audit (NELA) improve 30-day mortality in patients undergoing emergency laparotomy?
Does the implementation of the National Emergency Laparotomy Audit (NELA) improve 30-day mortality in patients undergoing emergency laparotomy?
While 30-day mortality for emergency laparotomy has improved over 15 years, the implementation of NELA has not yet shown a measurable independent effect on mortality compared to the immediately preceding years.
Authors
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Mortality reduction in emergency laparotomy predates NELA; leaves open whether national audit improves 30-day outcomes.
McLean et al. (2020) studied this question.
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