Key result
Adding a second consultant to the daily on-call rota reduced 30-day mortality from 21% to 10.50% (OR for survival 2.231; p=0.031) in patients undergoing emergency laparotomy.
Why the study?
Does adding a second consultant to the daily on-call rota reduce postoperative mortality and morbidity in adult patients undergoing emergency laparotomy?
Population
Adult patients undergoing emergency laparotomy under the general surgical take at a single UK tertiary…
Comparison
Addition of one more consultant in the daily… vs Single on-call consultant (initial audit period)
Design
Cohort
Follow-up
30-day
Authors
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May support dual-consultant on-call rotas for emergency laparotomy; hypothesis-generating and requires RCT confirmation.
Observational (n=207)
No
Does adding a second consultant to the daily on-call rota reduce postoperative mortality and morbidity in adult patients undergoing emergency laparotomy?
Odds Ratio: 2.231
Absolute Event Rate: 10.5% vs 21%
p-value: p=0.031
Adding a second consultant to the daily on-call rota significantly reduces 30-day mortality and length of hospital stay for patients undergoing emergency laparotomy.
Hussain et al. (2017) conducted an observational in Emergency laparotomy (n=207). Addition of a second consultant to the daily on-call rota vs. Single on-call consultant was evaluated on 30-day mortality (OR 2.231, p=0.031). Adding a second consultant to the daily on-call rota reduced 30-day mortality from 21% to 10.50% (OR for survival 2.231; p=0.031) in patients undergoing emergency laparotomy.
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