From: Mortality following emergency laparotomy: a Swedish cohort study
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) | |
Primary surgery | 597 | 85 (14.2) | 149 (25.0) | 448 (75.0) | |
Re-operation | 113 | 16 (14.2) | 39 (34.5) | 74 (65.5) | |
Age Mean age for all operations 65,6 (years) | 18–29 | 34 | 2 (5.9) | 2 (5.9) | 32 (94.1) |
30–39 | 39 | 0 (0.0) | 1 (2.6) | 38 (97.4) | |
40–49 | 65 | 2 (3.1) | 6 (9.2) | 59 (89.8) | |
50–59 | 92 | 5 (5.5) | 13 (14.2) | 79 (85.8) | |
60–69 | 127 | 11 (8.7) | 25 (19.7) | 102 (80.3) | |
70–79 | 164 | 29 (17.7) | 56 (34.1) | 108 (65.9) | |
80–89 | 167 | 41 (24.6) | 72 (43.1) | 95 (56.9) | |
90–100 | 22 | 11 (50.0) | 14 (63.6) | 8 (36.4) | |
Gender | Female | 393 | 56 (14.2) | 106 (27.0) | 287 (73.0) |
Male | 317 | 45 (14.2) | 83 (26.2) | 234 (73.8) | |
Comorbiditya | Yes (one or more) | 368 | 66 (17.9) | 113 (30.7) | 255 (69.3) |
None of the below | 342 | 35 (10.2) | 76 (22.2) | 266 (77.8) | |
COPD | 57 | 17 (29.8) | 26 (45.6) | 31 (54.4) | |
IHD | 84 | 25 (29.8) | 37 (44.0) | 47 (56.0) | |
Heart failure | 63 | 22 (34.9) | 32 (50.8) | 31 (49.2) | |
Diabetes | 82 | 12 (14.3) | 30 (36.6) | 52 (63.4) | |
Renal failure | 90 | 25 (27.8) | 42 (46.7) | 48 (53.3) | |
Obesity | 88 | 9 (10.2) | 14 (15.9) | 74 (84.1) | |
Smoker | 92 | 11 (11.9) | 19 (20.7) | 73 (79.7) | |
Cancer diagnosisb | 218 | 33 (15.1) | 100 (45.9) | 118 (54.1) | |
ASA-classification | ASA 1 | 72 | 2 (2,8) | 5 (6.9) | 67 (93.1) |
ASA 2 | 247 | 8 (3.2) | 24 (9.7) | 223 (90.3) | |
ASA 3 | 282 | 42 (14.9) | 92 (32.6) | 190 (67.4) | |
ASA 4 | 98 | 44 (44.9) | 61 (62.2) | 37 (37.8) | |
ASA 5 | 11 | 5 (45.5) | 7 (63.6) | 4 (36.4) | |
Multiple surgeryc | 88 | 3 (3.4) | 12 (13.6) | 76 (86.4) | |
Pathological findings | |||||
Ileus | Small intestine | 334 | 28 (8.4) | 60 (18.0) | 274 (82.0) |
Colon | 69 | 9 (13.0) | 24 (34.8) | 45 (65.2) | |
Intestinal perforation | Colon | 60 | 18 (30.0) | 24 (40.0) | 36 (60.0) |
Small intestine | 80 | 19 (23.8) | 29 (36.3) | 51 (63.7) | |
Ventricle | 56 | 11 (19.6) | 20 (35.7) | 36 (64.3) | |
Anastomosis leakage | 21 | 4 (19.0) | 6 (28.6) | 15 (71.4) | |
Peritonitis | Purulent | 43 | 7 (16.3) | 12 (27.9) | 31 (72.1) |
Faecal | 57 | 14 (24.6) | 25 (43.9) | 32 (56.1) | |
Other peritonitis | 87 | 24 (27.6) | 33 (37.9) | 54 (62.1) | |
Intestinal ischemia/gangrene | 81 | 21 (25.9) | 30 (37.0) | 51 (63.0) | |
Abdominal bleeding | 43 | 10 (23.3) | 14 (32.5) | 29 (67.5) | |
Trauma laparotomy | 21 | 2 (9.5) | 4 (19.0) | 17 (81.0) |