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) | |