ArticleJournal of clinical medicine2020
Early Postoperative Death in Patients Undergoing Emergency High-Risk Surgery: Towards a Better Understanding of Patients for Whom Surgery May Not Be Beneficial.
Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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.
The trial behind it
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
13 citing papers in PubMed, 35 citations in OpenAlex.
- Reply to 'Interpreting the clinical utility and generalizability of a multitask perioperative prediction model'.NPJ digital medicine · 2026Article
- The influence between frailty, sarcopenia and physical status on mortality in patients undergoing emergency laparotomy.World journal of emergency surgery : WJES · 2025Article
- Costs of surgical futility in emergency laparotomy.Surgery in practice and science · 2025Article
- Emergency laparotomy preoperative risk assessment tool performance: A systematic review.Surgery in practice and science · 2024Review
- Article
- Comparison between P-POSSUM and NELA risk score for patients undergoing emergency laparotomy in Egyptian patients.BMC surgery · 2023Article
- Perioperative mortality of emergency and elective surgical patients in a low-income country: a single institution experience.Perioperative medicine (London, England) · 2023Article
- Quantitative futility in emergency laparotomy: an exploration of early-postoperative death in the National Emergency Laparotomy Audit.Techniques in coloproctology · 2023Article
- Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERASWorld journal of surgery · 2023Review
- Enhanced Recovery After Surgery (ERAS®) Society Consensus Guidelines for Emergency Laparotomy Part 3: Organizational Aspects and General Considerations for Management of the Emergency Laparotomy Patient.World journal of surgery · 2023Review
- Futility in acute care surgery: first do no harm.Trauma surgery & acute care open · 2023Review
- Article
- The false dichotomy of surgical futility in the emergency laparotomy setting: scoping review.BJS open · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
The timing, causes, and quality of care for patients who die after emergency laparotomy have not been extensively reported. A large database of 13,953 patients undergoing emergency laparotomy, between July 2014 and March 2017, from 28 hospitals in England was studied. Anonymized data was extracted on day of death, patient demographics, operative details, compliance with standards of care, and 30-day and in-patient mortality. Thirty-day mortality was 8.9%, and overall inpatient mortality was 9.8%. Almost 40% of postoperative deaths occurred within three days of surgery, and 70% of these early deaths occurred on the day of surgery or the first postoperative day. Such early deaths could be considered nonbeneficial surgery. Patients who died within three days of surgery had a significantly higher preoperative lactate, American Society of Anesthesiologists Physical Status (ASA-PS) grade, and Physiological and Operative Severity Score for the enumeration of Mortality and morbidity (P-POSSUM). Compliance with perioperative standards of care based on the Emergency Laparotomy Collaborative care bundle was high overall and better for those patients who died within three days of surgery. Multidisciplinary team involvement from intensive care, care of the elderly physicians, and palliative care may help both the communication and the burden of responsibility in deciding on the risk-benefit of operative versus nonoperative approaches to care.
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Registered trials
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