Perioperative medicine & outcomes
Beyond high‐risk: analysis of the outcomes of extreme‐risk patients in the National Emergency Laparotomy Audit
Authors' conclusion
These data underscore the need for a differentiated approach when discussing risk with patients at extreme risk of mortality following an emergency laparotomy.
Study context
- Population
- All patients enrolled in the National Emergency Laparotomy Audit (NELA) database, December 2012 to 20205,193 (3.2%) extreme risk
- Participants
- 161,337 patients
- Exposure
- Extreme-risk vs high-risk emergency laparotomy patients
- 50-59n = 2,437
- 60-69n = 1,484
- 70-79n = 840
- 80+n = 423
- Outcome
- 90-day survival
- Follow-up
- 90 days
Methodological detailsnational audit database
- National audit database
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Values | P value |
|---|---|---|
| Hospital LOS | 50-59 median 26 (IQR [range] 16-43 [0-271]) days · 80+ median 35 (IQR [range] 21-56 [0-368]) days · High-risk median 17 (IQR [range] 10-30 [0-1136]) days | |
| Unplanned return to operating theatre | Extreme-risk 11% · High-risk 8% | |
| Elective admissionExtreme-risk vs High-risk · significantly more likely in extreme-risk | P < 0.001 |
Original publication
Beyond high‐risk: analysis of the outcomes of extreme‐risk patients in the National Emergency Laparotomy Audit. Anaesthesia. Published 29 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →