A case-control study investigating factors of preoperative delay in emergency laparotomy

International Journal of Surgery
Crispin SchneiderHugh Barr

Abstract

Emergency laparotomy (EL) is a procedure that puts a strain on healthcare resources and is associated with a significant morbidity and mortality. Despite these implications little improvement in the outcome of patients undergoing this procedure has been made in the UK over the last few decades. A delay in transferring patients to theatre has been shown to negatively affect outcome of EL. A prospective case-control study was carried out to evaluate which preoperative factors may contribute towards a delay in theatre transfer. The time between decision to operate and anaesthetic start time was recorded for all patients undergoing EL between April and September 2013 at Gloucestershire Royal Infirmary. Patient selection criteria were based on the National Emergency Laparotomy Audit guidelines. Patients were divided into two groups depending on whether the transfer to theatre was delayed or not. Binary logistic regression analysis was performed on perioperative factors to determine independent predictors of delay. A total of 84 EL were included for analyses with 31 classified as delayed. In the delayed group time for theatre transfer was increased at 6.9 vs. 2.3 h (p < 0.005) respectively. Unavailability of emergency theatres due to...Continue Reading

References

Apr 17, 2010·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J KjaergaardH Kehlet
Sep 11, 2010·European Journal of Anaesthesiology·Adrian ClarkeCarol J Peden
Feb 22, 2011·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·UNKNOWN U.S. Department of Health and Human Services
Aug 6, 2011·The Journal of Trauma·Kevin M SchusterKimberly A Davis
Sep 29, 2011·American Journal of Surgery·Jerry J KimSamir S Awad
Oct 21, 2011·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Ranju SinghHomay Vajifdar
Sep 21, 2012·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Jennifer RaczWilliam Wall
Jul 12, 2013·Medicine, Science, and the Law·Claudio TerranovaCarmelo Militello
Mar 20, 2014·Anaesthesia·D Murray
Apr 15, 2014·British Journal of Anaesthesia·A SankarD N Wijeysundera
Jul 20, 2014·British Journal of Anaesthesia·A L McCulloughC G Moran
Nov 12, 2014·The British Journal of Surgery·S HuddartUNKNOWN ELPQuiC Collaborator Group

❮ Previous
Next ❯

Citations

Apr 6, 2016·Annals of Medicine and Surgery·W W AngC M Gupte
Sep 21, 2017·ANZ Journal of Surgery·Yiu Ming HoArkadiusz P Wysocki

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
MEnSA study group, on behalf of Mersey Research Group for Surgery
Annals of the Royal College of Surgeons of England
R Hole, J K Haywood
Journal of the Royal College of Surgeons of Edinburgh
T R MageeA Weston
© 2021 Meta ULC. All rights reserved