Key result
Emergency laparotomy was associated with an overall 30-day mortality rate of 20.3%, with advancing age, ASA score ≥3, and specific comorbidities identified as significant predictors of death.
Why the study?
Emergency laparotomy is a complex, high-risk surgical procedure associated with significant morbidity and mortality, prompting an assessment of these rates and associated risk factors.
Observational (n=478)
No
Emergency laparotomy carries a high 30-day mortality rate of 20.3%, with advancing age, higher ASA score, poor performance status, and specific comorbidities like diabetes and ischemic heart disease acting as significant predictors of death.
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High mortality underscores caution in surgical decision-making for frail patients; hypothesis-generating for future risk-reduction trials.
Manoj et al. (2022) conducted an observational in Acute abdominal conditions requiring emergency laparotomy (n=478). Emergency laparotomy was evaluated on 30-day mortality. Emergency laparotomy was associated with an overall 30-day mortality rate of 20.3%, with advancing age, ASA score ≥3, and specific comorbidities identified as significant predictors of death.
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