Evidence map›Paper›PMID 34380437›Full record

ArticleBMC surgery2021

Mortality following emergency laparotomy: a Swedish cohort study.

Terje Jansson Timan, Gustav Hagberg, Ninni Sernert, Ove Karlsson, Mattias Prytz

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03549624 (Standardized Perioperative Management of Patients Operated With Acute Abdominal Surgery in a High-risk Emergency Setting), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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.

NCT03549624 unknown statusnot on this map

Standardized Perioperative Management of Patients Operated With Acute Abdominal Surgery in a High-risk Emergency Setting

TypeobservationalSponsorSahlgrenska University HospitalRan2018 to 2023Enrolled1,435ConditionsLaparotomy, Peritonitis, Ileus, Perforated BowelArmsStandardised protocol for the perioperative management in patients in need of an acute laparotomy
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Health-related quality of life after emergency abdominal surgery.World journal of emergency surgery : WJES · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

5 authors.

Terje Jansson TimanDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. terje.jansson.timan@vgregion.se.
Gustav HagbergDepartment of Surgery, NU-Hospital Group, Trollhättan, Sweden.
Ninni SernertDepartment of Research and Development, NU-Hospital Group, Trollhättan, Sweden.
Ove KarlssonDepartment of Anesthesiology and Intensive Care Unit, NU-Hospital Group, Trollhättan, Sweden.
Mattias PrytzDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Funding

Local Research and Development Council Fyrbodal VGFOUFBD-803271Stiftelserna Wilhelm och Martina Lundgrens 2019-2883
6 · The paper itself

Abstract

backgroundEmergency laparotomy (EL) is a central, high-risk procedure in emergency surgery. Patients in need of an EL present an acute pathology in the abdomen that must be operated on in order to save their lives. Usually, the underlying condition produces an affected physiology. The perioperative management of this critically ill patient group in need of high-risk surgery and anaesthesia is challenging and related to high mortality worldwide. However, outcomes in Sweden have yet to be studied. This retrospective cohort study explores the perioperative management and outcome after 710 ELs by investigating mortality, overall length of stay (LOS) in hospital, need for care at the intensive care unit (ICU), surgical complications and a general review of perioperative management.

methodsMedical records after laparotomy was retrospectively analysed for a period of 38 months (2014-2017), the emergency cases were included. Children (< 18 years), aortic surgery, second look and other expected reoperations were excluded. Demographic, management and outcome data were collected after an extensive analysis of the cohort.

resultsA total of 710 consecutive operations, representing 663 patients, were included in the cohort (mean age 65.6 years). Mortality (30 days/1 year) after all operations was 14.2% and 26.6% respectively. The mean LOS in hospital was 12 days, while LOS in the ICU was five days. Of all operations, 23.8% patients were admitted at any time to the ICU postoperatively and the 30-day mortality seen among ICU patients was 37.9%. Mortality was strongly correlated to existing comorbidity, high ASA classification, ICU care and faecal peritonitis. The mean/median time from notification to operate until the first incision was 3:46/3:02 h and 87% of patients had their first incision within 6 h of notification.

conclusionsIn this present Swedish study, high mortality and morbidity were observed after emergency laparotomy, which is in agreement with other recent studies.

trial registrationThe study has been registered with ClinicalTrials.gov (NCT03549624, registered 8 June 2018).

Indexed as

Intensive Care UnitsLaparotomyAgedChildCohort StudiesHospital MortalityHumansLength of StayRetrospective StudiesSwedenAcute abdomenAcute surgeryEmergency laparotomyICUIntensive careMortalityOutcomePerioperative management

Identifiers

PMID34380437
PMCPMC8356422

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.