Acute abdominal pathology requiring emergency laparotomy
Conditions
Interventions
Hajibandeh Index:NELA risk score
Sponsors
Shahab Hajibandeh- Department of General Surgery, Royal Glamorgan Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 94 Years
Inclusion criteria
Inclusion criteria: All patients aged over 18 who underwent emergency laparotomy in our centre between January 2014 to January 2021 were considered eligible for inclusion. The indications of interest for emergency laparotomy included small bowel obstruction, large bowel obstruction, visceral perforation, intestinal ischaemia, intraabdominal collection, intraabdominal bleeding, and intraabdominal sepsis of any source (anastomotic leak, colitis, intestinal fistula). The list of procedures of interest during emergency laparotomy was not exhaustive and included colectomies, small bowel resection, repair of perforated viscus, adhesiolysis, creation of defunctioning stoma, achievement of haemostasis, drainage of intraabdominal collection and peritoneal irrigation.
Exclusion criteria
Exclusion criteria: The patients who underwent laparotomy secondary to trauma were excluded. Moreover, patients who did not have available preoperative levels of CRP, neutrophils, lactate, lymphocytes or albumin and the patients with underlying haematological malignancy resulting in chronic elevated levels of neutrophils or lymphocytes were excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 30-day mortality; | — |
Secondary
| Measure | Time frame |
|---|---|
| 90-day mortality; | — |
Countries
United Kingdom
Contacts
Public ContactShahab Hajibandeh
Department of General Surgery, Royal Glamorgan Hospital
Outcome results
None listed