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Table 5 Outcome related to management

From: Mortality following emergency laparotomy: a Swedish cohort study

Mortality
n (%)
  Total number in the cohort 30-days 365-days Not deceased
    Accumulated mortality n (%)  
All operations   710 101 (14.2) 189 (26.6) 521 (73.4)
Priority  < 30 min 25 6 (24.0) 7 (28.0) 18 (72.0)
 < 2-h 272 59 (21.7) 87 (32.0) 185 (68.0)
 < 6-h 413 36 (8.7) 95 (23.0) 318 (77.0)
Surgical procedure
Intestinal resection Small intestine 155 20 (12.9) 34 (21.9) 121 (78.1)
Colon 84 16 (19.0) 29 (34.5) 55 (65.5)
Small intestine and colon 14 6 (42.9) 7 (50.0) 7 (50.0)
Intestinal anastomosis 159 16 (10.1) 33 (20.8) 126 (79.2)
Intestinal stoma 178 32 (18.0) 74 (41.6) 104 (58.4)
Adhesiolysis 320 36 (11.3) 79 (24.7) 241 (75.3)
Resection of abdominal organ 15 4 (26.7) 8 (53.3) 7 (46.7)
Anaesthesiologic carea
Induction drug propofol 592 53 (9.0) 122 (20.6) 470 (79.4)
Induction drug ketamine and propofol 52 15 (28.8) 26 (50.0) 26 (50.0)
Induction drug ketamine 62 31 (50.0) 39 (62.9) 23 (37.1)
Thoracic epidural anaesthesia 477 42 (8.8) 99 (20.8) 378(79.2)
Treated with vasopressor infusion 505 94 (18.6) 164 (32.5) 341 (67.5)
A-Line inserted 253 55 (21.7) 100 (39.5) 153 (59.5)
Anaesthesiologic complication- aspiration 5 3 (60.0) 4 (80.0) 1 (20.0)
Treatment with antibiotics 555 84 (15.1) 162 (29.2) 393 (70.8)
Competence     
Highest level of competence in the operation theatreb Surgical registrar 61 5 (8.2) 12 (19.7) 49 (80.3)
Specialist in surgery 196 19 (9.7) 37 (18.9) 159 (81.1)
Senior consultant—surgery 450 76 (16.9) 138 (30.7) 312 (69.3)
Anaesthesiologic registrar 273 30 (11.0) 72 (26.4) 201 (73.6)
Specialist in anesthesiology 136 18 (13.2) 28 (20.6) 108 (79.4)
Senior consultant—anaesthesia 296 50 (16.9) 86 (29.1) 210 (70.9)
ICU     
All ICU admissionsc 169 (23.8) 64 (37.9) 88 (52.1) 81 (47.9)
Direct ICU admission from operation theatre 126 (17.7) 56 (44.4) 71 (56.3) 55 (43.7)
  1. Priority, for emergency the guideline from notification to operate until first incision
  2. aMissing value induction drug n = 4
  3. bMissing value. Surgery n = 3, Anesthesiology n = 5
  4. cAll ICU admissions represents all admissions for a patient to ICU during hospital stay after emergency laparotomy