Perioperative medicine & outcomes

Predictors of morbidity and mortality among elderly patients undergoing emergency exploratory laparotomy at regional referral hospitals in Uganda: a multi-centre prospective study

Perioper Med (Lond)Published Prospective cohort study

Authors' conclusion

The rates of morbidity were high.

Study context

Population
Elderly patients (≥ 65 years) undergoing emergency exploratory laparotomy at Jinja, Lira, Hoima and Fort Portal Regional Referral Hospitals, Uganda
Participants
86 patients
Outcome
Morbidity (complications: hemorrhage, surgical site infection, DVT, respiratory complications) and mortality
Follow-up
30 days post-operatively
Methodological detailsobservational, multicentre
  • Observational
  • Multicentre

Main finding

As reported in the abstract

Complications and mortality · 30 days
Complications
25.6%
Mortality
10.5%
Age > 80 years, DM or hypertension and perforation associated with complications (multivariable)
P < 0.05
Delayed presentation to hospital and blood transfusion associated with mortality (multivariable)
P < 0.05

Observational data: associations, not effects.

Original publication

Predictors of morbidity and mortality among elderly patients undergoing emergency exploratory laparotomy at regional referral hospitals in Uganda: a multi-centre prospective study. Perioper Med (Lond). Published 26 November 2025. doi:10.1186/s13741-025-00631-8

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