Key result
Emergency laparotomy was associated with an 18% mortality rate during long-term follow-up among 90-day survivors, with higher comorbidity (CCI > 5) significantly increasing mortality risk (OR 4.74).
Why the study?
Emergency laparotomy is common with poor outcomes, and although patients are often frail with chronic comorbidities, studies focused on long-term outcomes after the procedure are lacking.
What are the long-term outcomes and factors associated with mortality in adults surviving >90 days after emergency laparotomy?
Population
674 adults undergoing midline emergency laparotomy
Design
Retrospective single-center cohort study
Authors
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May warrant closer surveillance in comorbid survivors; leaves open whether targeted interventions improve long-term survival.
Cohort (n=554)
No
What are the long-term outcomes and factors associated with mortality in adults surviving >90 days after emergency laparotomy?
Long-term mortality after emergency laparotomy is high (nearly 20% at 2 years among 90-day survivors) and is strongly associated with patient comorbidities and postoperative medical complications.
Ylimartimo et al. (2022) conducted a cohort in Emergency laparotomy (n=554). Emergency laparotomy was evaluated on 2-year mortality after surgery. Emergency laparotomy was associated with an 18% mortality rate during long-term follow-up among 90-day survivors, with higher comorbidity (CCI > 5) significantly increasing mortality risk (OR 4.74).
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