ArticleScandinavian journal of trauma, resuscitation and emergency medicine2013
Effects of moving emergency trauma laparotomies from the ED to a dedicated OR.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of emergency room laparotomy in patients with severe abdominal trauma.Scientific reports · 2025Pooled it
- Outcomes of emergency department and operating room preperitoneal pelvic packing in hemodynamically unstable severe pelvic fractures: a retrospective risk-adjusted observational study.World journal of emergency surgery : WJES · 2026Observational
- Emergency department laparotomy for patients with severe abdominal trauma: a retrospective study at a single regional trauma center in Korea.Journal of trauma and injury · 2024Article
- A characterization of trauma laparotomies in a scandinavian setting: an observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Observational
- Emergency trauma laparotomy and/or thoracotomy in the emergency department: risks and benefits.Trauma surgery & acute care open · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe trauma room at Oslo University Hospital- Ulleval is fully equipped for major damage control procedures, in order to minimize delay to surgery. Since 2006, patients in need of immediate laparotomy have increasingly been transferred to a dedicated trauma operating room (OR). We wanted to determine the decrease in number of procedures performed in the emergency department (ED), the effect on time from admission to laparotomy, the effect on non-therapeutic laparotomies, and finally to determine whether such a change could be undertaken without an increase in mortality.
methodsRetrospective evaluation of haemodynamically unstable trauma patients undergoing laparotomy during the period 2002-2009. Based on time for protocol change Period 1 was defined as 2002-2006 and Period 2 as 2007-2009. Significance was set at p < 0.05.
resultsA total of 167 consecutive patients were included; 103 patients from Period 1 and 64 from Period 2. We found a 42% decrease in ED laparotomies (p < 0.001). Median time to laparotomy increased from 24.0 to 34.0 minutes from Period 1 to Period 2 (p = 0.029). Crude mortality fell from 57% to 39%. The proportion of non-therapeutic laparotomies in the OR tended to be lower over the whole study period.
conclusionMoving this cohort of haemodynamically compromised trauma patients in need of emergency laparotomy out of the ED to a dedicated OR resulted in longer median time to laparotomy, but did not increase mortality.
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