Key result
An intraoperative multidisciplinary time-out model stratifying emergency abdominal surgery resulted in 1-year mortality of 16.9% (definitive), 56.7% (palliative), and 40% (damage control).
Why the study?
Emergency abdominal surgery carries high rates of postoperative complications and death, and standardized intraoperative strategies have been lacking.
Does an intraoperative multidisciplinary time-out model stratify outcomes in patients undergoing emergency abdominal surgery?
Population
436 consecutive patients undergoing emergency laparotomy or laparoscopy in 2019
Comparison
Definitive vs palliative vs damage control surgery strategies
Design
Quality improvement cohort study
Follow-up
1-year
Authors
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May support individualized intraoperative strategies in emergency abdominal surgery; leaves open confirmation of benefit in prospective trials.
Cohort (n=436)
Does an intraoperative multidisciplinary time-out model stratify outcomes in patients undergoing emergency abdominal surgery?
A multidisciplinary, intraoperative decision-making standard can stratify emergency abdominal surgery patients into definitive, palliative, or damage control strategies with distinct complication and mortality profiles.
Tolstrup et al. (2022) conducted a cohort in Emergency abdominal surgery (n=436). Intraoperative multidisciplinary time-out model was evaluated on Postoperative complications (Clavien-Dindo score and Comprehensive Complication Index) and 30-90-day and 1-year mortality. An intraoperative multidisciplinary time-out model stratifying emergency abdominal surgery resulted in 1-year mortality of 16.9% (definitive), 56.7% (palliative), and 40% (damage control).
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