Evidence map›Paper›PMID 34304730›Full record

ArticlePerioperative medicine (London, England)2021

Emergency Laparotomy Follow-Up Study (ELFUS): prospective feasibility investigation into postoperative complications and quality of life using patient-reported outcome measures up to a year after emergency laparotomy.

D I Saunders, R C F Sinclair, B Griffiths, E Pugh, D Harji, B Salas, H Reed, C Scott

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Perioperative medicine (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Techniques for mesoappendix transection and appendix resection: insights from the ESTES SnapAppy study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  9. Long-term Outcomes After Emergency Laparotomy: a Retrospective Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

D I SaundersDepartment of Anaesthesia, Royal Victoria Infirmary, Newcastle upon Tyne, NHS FT, NE1 4LP, UK. david.saunders8@nhs.net.ORCID http://orcid.org/0000-0003-0251-020X
R C F SinclairDepartment of Anaesthesia, Royal Victoria Infirmary, Newcastle upon Tyne, NHS FT, NE1 4LP, UK.
B GriffithsDepartment of Colorectal Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, NHS FT, NE1 4LP, UK.
E PughDepartment of Anaesthesia, Royal Victoria Infirmary, Newcastle upon Tyne, NHS FT, NE1 4LP, UK.
D HarjiDepartment of Colorectal Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, NHS FT, NE1 4LP, UK.
B SalasNewcastle University, Newcastle upon Tyne, NE2 4HH, UK.
H ReedResearch Nurse, Department of Research and Development, Royal Victoria Infirmary, Newcastle upon Tyne, NHS FT, NE1 4LP, UK.
C ScottResearch Nurse, Department of Research and Development, Royal Victoria Infirmary, Newcastle upon Tyne, NHS FT, NE1 4LP, UK.
Royal Victoria Infirmary · GBNewcastle University · GB

Funding

Association of Anaesthetists of Great Britain and Ireland WKR0-2016-0054
6 · The paper itself

Abstract

backgroundEmergency laparotomy carries a significant risk profile around the time of surgery. This research aimed to establish the feasibility of recruitment to a study using validated scoring tools to assess complications after surgery; and patient-reported outcome measures (PROMs) to assess quality of life and quality of recovery up to a year following emergency laparotomy (EL).

methodsWe used our local National Emergency Laparotomy Audit (NELA) register to identify potential participants at a single NHS centre in England. Complications were assessed at 5, 10 and 30 days after EL. Patient-reported outcome measures were collected at 1, 3, 6 and 12 months after surgery using EQ5D and WHODAS 2.0 questionnaires.

resultsSeventy of 129 consecutive patients (54%) agreed to take part in the study. Post-operative morbidity survey data was recorded from 63 and 37 patients at postoperative day 5 and day 10. Accordion Complication Severity Grading data was obtained from 70 patients. Patient-reported outcome measures were obtained from patients at baseline and 1, 3, 6 and 12 months after surgery from 70, 59, 51, 48, to 42 patients (100%, 87%, 77%, 75% and 69% of survivors), respectively.

conclusionsThis study affirms the feasibility of collecting PROMs and morbidity data successfully at various time points following emergency laparotomy, and is the first longitudinal study to describe quality of life up to a year after surgery. This finding is important in the design of a larger observational study into quality of life and recovery after EL.

Indexed as

ComplicationsPatient-reported outcome measures (PROMS)Quality of life; Emergency laparotomy

Identifiers

PMID34304730
PMCPMC8311937
OpenAlexW3186310982

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.