Key result
Patients undergoing emergency laparotomy in England had a significantly higher risk of 30-day mortality compared with those in New York State (13.6% vs 6.9%; OR 2.35, 95% CI 2.24-2.46; P<0.001).
Why the study?
Does the location of emergency laparotomy (England vs New York State) affect 30-day all-cause mortality in adult patients?
Population
137,869 patients older than 18 years undergoing laparotomy for emergency open bowel surgery between April…
Comparison
Emergency laparotomy in England vs Emergency laparotomy in New York State
Design
Cohort
Follow-up
30 days
Authors
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England's elevated mortality risk may reflect care-system differences; this Level 3 observational finding leaves open causal factors and practice implications.
Cohort (n=137,869)
Yes
Does the location of emergency laparotomy (England vs New York State) affect 30-day all-cause mortality in adult patients?
Odds Ratio: 2.35 (95% CI 2.24–2.46)
Absolute Event Rate: 13.6% vs 6.9%
p-value: p=<0.001
The risk of 30-day mortality following emergency laparotomy is significantly higher in England compared to New York State.
Tan et al. (2016) conducted a cohort in Emergency laparotomy for open bowel surgery (n=137,869). Emergency laparotomy in England vs. Emergency laparotomy in New York State was evaluated on All-cause mortality within 30 days of the index laparotomy (OR 2.35, 95% CI 2.24-2.46, p=<0.001). Patients undergoing emergency laparotomy in England had a significantly higher risk of 30-day mortality compared with those in New York State (13.6% vs 6.9%; OR 2.35, 95% CI 2.24-2.46; P<0.001).
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