Understanding the patients that need but do not undergo emergency abdominal surgery

Defining the Denominator: Emergency Laparotomy and Frailty Study 2

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN14556210

Enrollment

700

Registered

2020-01-08

Start date

2020-01-27

Completion date

Unknown

Last updated

2024-10-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Older adults with pathology requiring an emergency laparotomy Surgery

Interventions

The study is characterising the number of patients that do not undergo emergency abdominal surgery (age, pathology, diagnosis, gender) and trying to understand the reasons behind that decision not to

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. 65 years or older 2. Requires emergency laparotomy for pathology consistent with inclusion into NELA 3. Does not undergo emergency laparotomy 4. Had review by trained surgeon

Exclusion criteria

Exclusion criteria: 1. Under 65 years of age 2. No surgical review 3. Failed conservative management

Design outcomes

Primary

Measure	Time frame
90-day mortality after decision not to undergo emergency laparotomy measured by patient records	—

Secondary

Measure	Time frame
The reasoning behind the NOLAP decision measured using patient records at the time	—

Countries

England, Scotland, United Kingdom, Wales

Contacts

Public ContactSusan Moug

susan.moug@ggc.scot.nhs.uk+44 (0)141 3146965

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 15, 2026