Evidence map›Paper›PMID 39853378›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Long-term impact of emergency laparotomy on health-related quality of life.

Lív Í Soylu, Dunja Kokotovic, Madeline Kvist, Jannick Brander Hansen, Jakob Burcharth

Abstract read
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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Patterns of patient worry following major emergency abdominal surgery: a 180-day follow-up study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  2. Article
  3. Emergency laparotomies in trauma management: a six-year case series.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  4. Article
  5. Article
  6. Review
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.

Lív Í SoyluEmergency Surgery Research Group Copenhagen (EMERGE), Department og Hepatic and Gastrointestinal Diseases, Copenhagen University Hospital- Herlev and Gentofte, Herlev, 2730, Denmark. liv.i.soylu@regionh.dk.ORCID http://orcid.org/0009-0006-6025-9737
Dunja KokotovicEmergency Surgery Research Group Copenhagen (EMERGE), Department og Hepatic and Gastrointestinal Diseases, Copenhagen University Hospital- Herlev and Gentofte, Herlev, 2730, Denmark.ORCID http://orcid.org/0000-0003-1544-8927
Madeline KvistEmergency Surgery Research Group Copenhagen (EMERGE), Department og Hepatic and Gastrointestinal Diseases, Copenhagen University Hospital- Herlev and Gentofte, Herlev, 2730, Denmark.ORCID http://orcid.org/0000-0002-2651-2771
Jannick Brander HansenEmergency Surgery Research Group Copenhagen (EMERGE), Department og Hepatic and Gastrointestinal Diseases, Copenhagen University Hospital- Herlev and Gentofte, Herlev, 2730, Denmark.ORCID http://orcid.org/0000-0002-8202-4684
Jakob BurcharthEmergency Surgery Research Group Copenhagen (EMERGE), Department og Hepatic and Gastrointestinal Diseases, Copenhagen University Hospital- Herlev and Gentofte, Herlev, 2730, Denmark.ORCID http://orcid.org/0000-0001-8367-7831

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEmergency laparotomy can result in a range of physical and neuropsychiatric postoperative complaints, potentially impacting quality of life. This study aimed to assess the effect of emergency laparotomy on health-related quality of life (HRQoL) and how HRQoL influences the risk of readmission.

methodHRQoL was assessed in patients undergoing emergency laparotomy during a 1-year period. Patients who completed the baseline HRQoL evaluation underwent a reassessment on postoperative day (POD) 30, 90, and 180. HRQoL was measured with the EQ5D index, and patients were categorized in 'high' and 'low' HRQoL. A decrease from high baseline HRQoL to low HRQoL by POD 30 was classified as 'acquired low HRQoL'.

resultsAll 215 patients who completed the baseline HRQoL evaluation were followed. On average, patients reported a lower mean (M) HRQoL from baseline (M = 0.876, standard deviation (SD) = 0.171) to POD 30 (M = 0.735, SD = 0.260). On POD 90, HRQoL had somewhat improved (M = 0.763, SD = 0.298), and by POD 180 HRQoL had returned to normal (M = 0.853, SD = 0.235). From the full-record population (n = 73), 20.5% acquired low HRQoL of whom 33% had not recovered by POD180. For patients with acquired low HRQoL, the risk of 180-day readmission was increased, and days alive and out of hospital within 180 days was reduced.

conclusionFor most patients, HRQoL has returned to normal within 180 days after emergency laparotomy. However, patients who acquired low HRQoL after the procedure had an increased risk of long-term readmission.

Indexed as

LaparotomyPostoperative ComplicationsQuality of LifeAdultAgedEmergenciesFemaleHumansMaleMiddle AgedPatient ReadmissionEmergency surgeryHealth-related quality of lifeLaparotomyReadmissionSurgical outcomes

Identifiers

PMID39853378
PMCPMC11761775

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Registered trials

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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.