Observational studyAging clinical and experimental research2020
Emergency laparotomy in the older patient: factors predictive of 12-month mortality-Salford-POPS-GS. An observational study.
Observational study in Aging clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06038045 (PROSPER- Electronic Patient Reported OutcomeS to Empower Patients rEcoveR), which is not on this map. Cited by 17 papers, 6 of them syntheses 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.
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.
PROSPER- Electronic Patient Reported OutcomeS to Empower Patients rEcoveR
Who cites it
17 citing papers in PubMed, 6 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Impact of Frailty on Activities of Daily Living in Hospitalized Older Adults: A Systematic Review and Meta-Analysis.Geriatrics & gerontology international · 2026Pooled it
- Unplanned Healthcare Utilization After Emergency Laparotomy: A Systematic Review and Meta-Analysis.World journal of surgery · 2026Pooled it
- Pooled it
- One-Year Outcomes Following Emergency Laparotomy: A Systematic Review.World journal of surgery · 2022Pooled it
- Association between mortality and frailty in emergency general surgery: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- Frailty and Emergency Surgery: Results of a Systematic Review and Meta-Analysis.Frontiers in medicine · 2022Pooled it
- 'Am I ever going to get back to being how I was before?': the experience of emergency laparotomy for older people living with frailty.BMC geriatrics · 2025Article
- Mortality following glaucoma surgery in octogenarians with primary open angle glaucoma.International ophthalmology · 2025Article
- Review
- The influence between frailty, sarcopenia and physical status on mortality in patients undergoing emergency laparotomy.World journal of emergency surgery : WJES · 2025Article
- Impact of preoperative frailty on outcomes in patients subjected to emergency laparotomy: a prospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- 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
- Article
- Outcomes of emergency laparoscopy in the elderly.Annals of the Royal College of Surgeons of England · 2022Observational
- 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
- Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations: Part 1-Preoperative: Diagnosis, Rapid Assessment and Optimization.World journal of surgery · 2021Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough high rates of in-hospital mortality have been described in older patients undergoing emergency laparotomy (EL), less is known about longer-term outcomes in this population. We describe factors present at the time of hospital admission that influence 12-month survival in older patients.
methodsObservational study of patients aged 75 years and over, who underwent EL at our hospital between 8th September 2014 and 30th March 2017.
results113 patients were included. Average age was 81.9 ± 4.7 years, female predominance (60/113), 3 (2.6%) lived in a care home, 103 (91.2%) and 79 (69.1%) were independent of personal and instrumental activities of daily living (ADLs) and 8 (7.1%) had cognitive impairment. Median length of stay was 16 days ± 29.9 (0-269); in-hospital mortality 22.1% (25/113), post-operative 30-day, 90-day and 12-month mortality rates 19.5% (22), 24.8% (28) and 38.9% (44). 30-day and 12-month readmission rates 5.7% (5/88) and 40.9% (36). 12-month readmission was higher in frail patients, using the Clinical Frailty Scale (CFS) score (64% 5-8 vs 31.7% 1-4, p = 0.006). Dependency for personal ADLs (6/10 (60%) dependent vs. 38/103 (36.8%) independent, p = 0.119) and cognitive impairment (5/8 (62.5%) impaired vs. 39/105 (37.1%) no impairment, p = 0.116) showed a trend towards higher 12-month mortality. On multivariate analysis, 12-month mortality was strongly associated with CFS 5-9 (HR 5.0403 (95% CI 1.719-16.982) and ASA classes III-V (HR 2.704 95% CI 1.032-7.081).
conclusionFrailty and high ASA class predict increased mortality at 12 months after emergency laparotomy. We advocate early engagement of multi-professional teams experienced in perioperative care of older patients.
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