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September 15, 2021International Journal of Surgery OpenOpen Access

Outcomes and associated factors among patients undergone emergency laparotomy: A retrospective study

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Key result

Emergency laparotomy had an 8.1% mortality rate, with age ≥65 (AOR 9.6), ASA ≥III (AOR 7.4), preoperative sepsis (AOR 6.7), and intraoperative vasopressors (AOR 10.5) significantly increasing risk.

Why the study?

Emergency laparotomy carries high mortality and major complication rates, but limited data were available regarding outcomes in the authors' country.

Population

518 patients undergoing emergency laparotomy

Design

Institutional-based retrospective observational study

Authors

KOKeder Essa OumerDebre Tabor UniversitySASeid Adem AhmedUniversity of GondarHTHailu Yimer TawuyeUniversity of Gondar

Discussion

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Implication

Identifies mortality predictors in emergency laparotomy; hypothesis-generating and requires prospective validation before changing practice.

Study Design

Type

Observational (n=518)

PICO

P
Population
518 patients who underwent emergency laparotomy over a four-year period.
E
Exposure / Comparator
Emergency laparotomy
O
Primary Outcome
Mortality

Cite This Study

Oumer et al. (2021) conducted an observational in Emergency laparotomy (n=518). Emergency laparotomy was evaluated on Mortality. Emergency laparotomy had an 8.1% mortality rate, with age ≥65 (AOR 9.6), ASA ≥III (AOR 7.4), preoperative sepsis (AOR 6.7), and intraoperative vasopressors (AOR 10.5) significantly increasing risk.

synapsesocial.com/papers/6a20b49652a81c8a3de5237ahttps://doi.org/10.1016/j.ijso.2021.100413
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Increased Morbidity and Mortality of Emergency Laparotomy in Elderly Patients2019 · 32 citations
  2. 2Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy2019 · 83 citations
  3. 3Classification of Surgical Complications2004 · 31,681 citations
  4. 4Complications after emergency laparotomy beyond the immediate postoperative period – a retrospective, observational cohort study of 1139 patients2016 · 132 citations
  5. 5A Comparison of Mortality Following Emergency Laparotomy Between Populations From New York State and England2016 · 40 citations