Why the study?
Patients eligible for emergency laparotomy who do not proceed to surgery are not as well characterised as those who do.
Does declining emergency laparotomy affect survival in eligible patients?
Population
314 patients eligible for emergency laparotomy by National Emergency Laparotomy Audit criteria
Comparison
Patients who did not undergo laparotomy vs those who underwent laparotomy
Design
Prospective cohort study
Follow-up
Median 1.3 years
Authors
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Non-operative emergency laparotomy candidates need better characterization; this cohort study leaves open optimal risk stratification and decision support.
Does declining emergency laparotomy affect survival in eligible patients?
Patients eligible for emergency laparotomy who do not undergo surgery have significantly shorter survival than those who do, partly driven by poorer baseline fitness.
Mcilveen et al. (2019) studied this question.
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