Outcomes following emergency laparotomy in Australian public hospitals

ANZ Journal of Surgery
Melinda BurmasKatherine J Broughton

Abstract

International studies reporting outcomes following emergency laparotomies have consistently demonstrated wide inter-hospital variation and a 30-day mortality in excess of 10%. The UK then prioritized the funding of the National Emergency Laparotomy Audit. In a prospective Western Australian audit there was minimal inter-hospital variation and a 6.6% 30-day mortality. In the absence of any multi-hospital Australian data the aim of the present study was to compare national administrative data with that previously reported. Data on emergency laparotomies performed in Australian public hospitals during 2013/2014 and 2014/2015 were extracted from admitted patient activity and costing data sets collated by the Independent Hospital Pricing Authority. The data sets, containing episode-level data relating to admitted acute and sub-acute care patients, included administrative, demographic and clinical information such as patient age, cost, length of stay, in-hospital mortality, diagnosis and surgical procedure details. Ninety-nine public hospitals undertaking at least 50 emergency laparotomies performed 20 388 procedures over the 2 years. The overall in-hospital mortality was 5.2%. There was a wide interstate and inter-hospital variation...Continue Reading

References

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Jun 26, 2012·British Journal of Anaesthesia·D I SaundersUNKNOWN UK Emergency Laparotomy Network
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May 23, 2015·ANZ Journal of Surgery·Genevieve GibbonsMarina Wallace
Jan 24, 2017·The British Journal of Surgery·L T TengbergUNKNOWN AHA study group
Aug 24, 2017·ANZ Journal of Surgery·Andreas KiermeierR James Aitken
Aug 25, 2017·ANZ Journal of Surgery·Katherine J BroughtonR James Aitken
Dec 29, 2017·World Journal of Surgery·Claire L StevensDavid A K Watters

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Citations

Dec 18, 2019·Journal of Surgical Oncology·Elliot A AsareBarry W Feig
Jan 20, 2020·Langenbeck's Archives of Surgery·Ohad GuettaDavid Czeiger
May 15, 2019·ANZ Journal of Surgery·Matthew M WatsonMatthias W Wichmann
Jun 30, 2021·ANZ Journal of Surgery·UNKNOWN ANZELA-QI Working PartyWendy J Babidge

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