ArticleInternational journal of emergency medicine2025
Validation of Emergency Surgery Score (ESS) as outcome prediction score in Egyptian patients undergoing emergency laparotomy.
Article in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05639920 (Validation of Emergency Surgery Score), which is not on this map. Cited by 1 paper.
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Validation of Emergency Surgery Score (ESS) as Outcome Prediction Score in Egyptian Patients Undergoing Emergency Laparotomy
Who cites it
1 citing paper in PubMed.
- Emergency surgery score as a predictor of postoperative surgical site infection in patients undergoing emergency surgery for gastrointestinal diseases: A prospective cohort study.Pakistan journal of medical sciences · 2026Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency laparotomy is an exploratory procedure for many surgical situations. Proper prognostic prediction helps recognize high-risk patients who benefit from further therapy. The Emergency Surgery Score (ESS) was developed as a preoperative risk evaluation assessment that predicts patient outcomes after emergency laparotomy.
objectiveThis study is to validate the ESS in Egyptian patients by evaluating its predictive ability for 30-day mortality, surgical complications, and ICU admission rates.
methodsThis prospective observational cohort study was performed out from May 2022 to November 2023 at two tertiary centers in Egypt. Patients aged 18 and above undergoing emergency laparotomy were included, whereas pregnant women and individuals with vascular or gynecological indications were eliminated. Preoperative, intraoperative, and postoperative data were thoroughly collected, and ESS was calculated for all patients. The primary desired outcome was 30-day death, while secondary outcomes included surgical complications and ICU admission. Standard definitions from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) were used.
resultsThis study included a diverse cohort, with a mean age of the patients 48.66 ± 19.37 years. The 30-day totally mortality rate was 28%. The most common complication was pneumonia (60%), followed by sepsis and acute kidney injury. Higher ESS scores were significantly associated with increased mortality and complication rates, confirming its predictive validity.
conclusionESS effectively categorized Egyptian patients who more reliable to complications of emergency laparotomy. Its use may improve clinical decision-making, optimize resource allocation, and facilitate patient and family counseling. Further research is recommended to refine its applicability across different populations.
trial registrationNCT05639920 registration date on (26/10/2021).
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