ArticleWorld journal of surgery2020
Increased Morbidity and Mortality of Emergency Laparotomy in Elderly Patients.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- One-Year Outcomes Following Emergency Laparotomy: A Systematic Review.World journal of surgery · 2022Pooled it
- Evaluating the weekend effect on mortality following major emergency general surgeries at a teaching hospital: a 7-year retrospective cohort study.BMC surgery · 2026Article
- Ten years of acute care surgery in Singapore: evolution, outcomes and future challenges.World journal of emergency surgery : WJES · 2026Review
- Predictors of morbidity and mortality among elderly patients undergoing emergency exploratory laparotomy at regional referral hospitals in Uganda: a multi-centre prospective study.Perioperative medicine (London, England) · 2025Article
- Intraoperative findings and predictors for length of hospital stay among elderly patients undergoing emergency exploratory laparotomy: a multi-centre prospective study.Perioperative medicine (London, England) · 2025Article
- Magnitude of in-hospital mortality and its associated factors among patients undergone laparotomy at tertiary public hospitals, West Oromia, Ethiopia, 2022.BMC surgery · 2024Article
- Effects of a Laparotomy on Targeted Lipidomics Profiles in a Mouse Model of Surgical Stress During Aging.Methods in molecular biology (Clifton, N.J.) · 2024Article
- Article
- Trends and outcomes of emergency general surgery in elderly and highly elderly population in a single regional emergency center.Annals of surgical treatment and research · 2023Article
- Association of Subjective Global Assessment with outcomes in the intensive care unit: A retrospective cohort study.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2022Article
- Article
- Association of Preoperative Risk Factors and Mortality in Older Patients following Emergency Abdominal Surgery: A Retrospective Cohort Study.Annals of geriatric medicine and research · 2021Article
- The risk and predictors of mortality in octogenarians undergoing emergency laparotomy: a multicentre retrospective cohort study.Langenbeck's archives of surgery · 2021Article
- Abdominal sepsis patients have a high incidence of chronic critical illness with dismal long-term outcomes.American journal of surgery · 2020Article
- Age is an independent risk factor for increased morbidity in elective colorectal cancer surgery despite an ERAS protocol.Langenbeck's archives of surgery · 2020Article
- Initial emergency laparotomy outcomes following a transdisciplinary perioperative care pathway in Singapore.Acute medicine & surgeryArticle
- Older Patients' Recall of Goals of Care Discussions Following Emergency Abdominal Surgery.ANZ journal of surgeryArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is an increasing incidence of elderly patients requiring emergency laparotomy. Our study compares the outcomes of elderly patients undergoing emergency laparotomy against the outcomes of non-elderly patients. METHODOLOGY: Patients who underwent emergency laparotomy between 2015 and 2017 from the National University Hospital, Singapore, were included. Apart from demographic data, indication of surgery and surgical procedure performed were collected. Prospectively collected nutritional scores were evaluated. Outcome measures included duration of surgery, length of ICU and total hospital stay, post-operative complications, and mortality indices. We performed multivariate Cox regression analysis to determine the contribution of various risk factors towards overall survival following emergency laparotomy.
resultsA total of 170 emergency laparotomies were performed. Compared to non-elderly patients, elderly patients had a significantly longer mean stay in hospital (31.5 vs. 18.6 days, p = 0.006) and mean stay in ICU (13.1 vs. 5.3 days, p = 0.003). More elderly patients suffered from post-laparotomy complications compared with non-elderly patients (65.8% vs. 37.4%, p < 0.001). 30-day mortality (31.5% vs. 8.8%, p = 0.019) and 1-year mortality (27.9% vs. 14.3%, p = 0.023) were higher in elderly patients compared with non-elderly patients. Interestingly, there was no statistically significant difference between elderly and non-elderly groups in both the global 3-MinNS as well as the global SGA nutritional scores. ASA status (HR 2.61, 95% CI 1.05-6.45, p = 0.038) was an independent risk factor for decreased survival following emergency laparotomy. Notably, while age ≥ 65 demonstrated a significant correlation with survival on univariate analysis (HR 1.03 (1.01-1.05), p = 0.003), this effect was lost following multivariate regression (HR 1.01 (0.453-2.23), p = 0.989).
conclusionElderly patients suffer worse morbidity and mortality following emergency laparotomy. This is likely contributed by comorbidities resulting in higher ASA status.
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