ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Implementation of a multidisciplinary perioperative protocol in major emergency abdominal surgery.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Key interventions and outcomes in perioperative care pathways in emergency laparotomy: a systematic review.World journal of emergency surgery : WJES · 2025Pooled it
- Enhanced recovery after surgery protocols following emergency intra-abdominal surgery: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Evidence-based control of stress response on intraoperative physiological indexes and recovery of patients undergoing gastrointestinal surgery.World journal of gastroenterology · 2025Trial
- The Dissemination of Standardised Care Protocol Guidelines for High-Risk Emergency Abdominal Surgery Patients in Denmark.Acta anaesthesiologica Scandinavica · 2026Article
- Long-term survival in generalized peritonitis: the impact of early critical periods in major emergency abdominal surgery.BMC surgery · 2026Article
- Adherence to enhanced recovery protocol in emergency general surgery: a prospective observational study.Updates in surgery · 2025Observational
- High risk of short-term mortality and postoperative complications in patients with generalized peritonitis undergoing major emergency abdominal surgery-a cohort study.Langenbeck's archives of surgery · 2025Article
- Outcomes of patients admitted with malignant small bowel obstruction: a subgroup multicentre observational cohort analysis.Langenbeck's archives of surgery · 2024Observational
- Short and long-term readmission after major emergency abdominal surgery: a prospective Danish study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- A Content Framework of a Novel Patient-Reported Outcome Measure for Detecting Early Adverse Events After Major Abdominal Surgery.World journal of surgery · 2023Article
- Enhanced perioperative care in emergency general surgery: the WSES position paper.World journal of emergency surgery : WJES · 2023Review
- Nutrition delivery after emergency laparotomy in surgical ward: a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Patients' perceptions of barriers to enhanced recovery after emergency abdominal surgery.Langenbeck's archives of surgery · 2021Article
- Emergency Laparotomies: Causes, Pathophysiology, and Outcomes.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020Review
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEnhanced recovery after surgery programs is widely implemented in elective settings, however, until recently, rarely in emergency surgery. The purpose of this study was to present detailed contents and data on implementation of an emergency abdominal perioperative protocol on the basis of compliance.
methodsA multidisciplinary perioperative bundle for major emergency abdominal surgery was developed and implemented in March 2017 covering surgical, emergency, anesthesiological, radiological, physiotherapy, and nutritional support. The bundle consisted of preoperative-, intraoperative-, and postoperative initiatives. Fifteen core protocol items were identified for audit and compliance rates for each protocol item and overall compliance rates were evaluated and quarterly stratified throughout the first year of implementation.
resultsA total of 227 consecutive patients underwent major emergency abdominal surgery from March 2017 throughout February 2018. The specific protocol items showed high individual compliance rates throughout all quarters of the first year. Time to suspicion of diagnosis at the emergency department, rate of perioperative thoracic epidural, and postoperative referral to physiotherapy showed the lowest compliance rates. The overall compliance rate of all 15 protocol items was 83% (min-max 71.4-100%).
conclusionWe found it possible to implement a comprehensive detailed perioperative protocol in emergency abdominal surgery across multiple specialties with an overall good compliance of protocol items.
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