Key result
Among patients admitted to the ICU within 48 hours after emergency laparotomy, 30-day mortality was 17.3% and 1-year mortality was 33.0%, with death linked to older age and high APACHE II scores.
Why the study?
Outcomes after emergency laparotomy are poor and patients are often admitted to an ICU, prompting evaluation of outcomes in this population.
What are the outcomes and factors associated with mortality in patients admitted to an ICU within 48 h after emergency laparotomy?
Observational (n=525)
No
What are the outcomes and factors associated with mortality in patients admitted to an ICU within 48 h after emergency laparotomy?
Patients requiring ICU admission after emergency laparotomy have high short- and long-term mortality, which is associated with older age, higher APACHE II scores, and admission from the PACU rather than directly to the ICU.
High mortality after emergency laparotomy requiring ICU admission warrants risk stratification; leaves open whether targeted interventions improve outcomes in older patients with high APACHE II.
PURPOSE: Outcomes after emergency laparotomy (EL) are poor. These patients are often admitted to an intensive care unit (ICU). This study explored outcomes in patients who were admitted to an ICU within 48 h after EL. MATERIALS AND METHODS: This retrospective single-center registry study included all patients over 16 years of age that underwent an EL and were admitted to an ICU within 48 h after surgery in Oulu University Hospital, Finland between January 2005 and May 2015. Survival was followed until the end of 2019. RESULTS: We included 525 patients. Hospital mortality was 13.3%, 30-day mortality was 17.3%, 90-day mortality was 24.2%, 1-year mortality was 33.0%, and 5-year mortality was 59.4%. Survivors were younger (57 [45-70] years) than the non-survivors (73 [62-80] years; p < .001). According to the Cox regression model, death during the follow-up was associated with age, APACHE II-score, lower postoperative CRP levels and platelet count of the first postoperative day, and the admission from the post-anesthesia care unit (PACU) to the ICU instead of direct ICU admission. CONCLUSION: Age, high APACHE II-score, low CRP and platelet count, and admission from the PACU to the ICU associated with mortality after EL in patients admitted to an ICU within 48 h after EL.
No takes yet. Share an insight, caveat, or question.
Ylimartimo et al. (2022) conducted an observational in Emergency laparotomy requiring ICU admission (n=525). Emergency laparotomy requiring ICU admission was evaluated on Mortality. Among patients admitted to the ICU within 48 hours after emergency laparotomy, 30-day mortality was 17.3% and 1-year mortality was 33.0%, with death linked to older age and high APACHE II scores.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: