Novel Textbook Outcomes following emergency laparotomy: Delphi exercise

David N. Naumann; Aneel Bhangu; Adam Brooks; Matthew Martin; Bryan A. Cotton; Mansoor Khan; Mark J. Midwinter; Lyndsay Pearce; Douglas M. Bowley; John B. Holcomb; Ewen A. Griffiths; BEACON Collaborative; Bas P.L. Wijnhoven; Tim Bright; Yick Ho Lam

doi:10.1093/bjsopen/zrad145

Novel Textbook Outcomes following emergency laparotomy: Delphi exercise

David N. Naumann, Aneel Bhangu, Adam Brooks, Matthew Martin, Bryan A. Cotton, Mansoor Khan, Mark J. Midwinter, Lyndsay Pearce, Douglas M. Bowley, John B. Holcomb, Ewen A. Griffiths, BEACON Collaborative, Bas P.L. Wijnhoven, Tim Bright, Yick Ho Lam

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

38 Downloads (Pure)

Abstract

Background: Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. There are many of these in the elective surgery literature but no textbook outcomes have been proposed for patients following emergency laparotomy. The aim was to achieve international consensus amongst experts and patients for the best Textbook Outcomes for non-trauma and trauma emergency laparotomy.

Methods: A modified Delphi exercise was undertaken with three planned rounds to achieve consensus regarding the best Textbook Outcomes based on the category, number and importance (Likert scale of 1–5) of individual outcome measures. There were separate questions for non-trauma and trauma. A patient engagement exercise was undertaken after round 2 to inform the final round.

Results: A total of 337 participants from 53 countries participated in all three rounds of the exercise. The final Textbook Outcomes were divided into ‘early’ and ‘longer-term’. For non-trauma patients the proposed early Textbook Outcome was ‘Discharged from hospital without serious postoperative complications (Clavien–Dindo ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation or death). For trauma patients it was ‘Discharged from hospital without unexpected transfusion after haemostasis, and no serious postoperative complications (adapted Clavien–Dindo for trauma ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation on or death)’. The longer-term Textbook Outcome for both non-trauma and trauma was ‘Achieved the early Textbook Outcome, and restoration of baseline quality of life at 1 year’.

Conclusion: Early and longer-term Textbook Outcomes have been agreed by an international consensus of experts for non-trauma and trauma emergency laparotomy. These now require clinical validation with patient data.

Original language	English
Article number	zrad145
Number of pages	9
Journal	BJS Open
Volume	8
Issue number	1
DOIs	https://doi.org/10.1093/bjsopen/zrad145
Publication status	Published - Feb 2024
Externally published	Yes

Keywords

laparotomy
wounds and injuries
outcome measures
exercise
Trauma
General Surgery
Acute Care Surgery

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10.1093/bjsopen/zrad145Licence: CC BY

Final published versionFinal published version, 473 KBLicence: CC BY

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Naumann, D. N., Bhangu, A., Brooks, A., Martin, M., Cotton, B. A., Khan, M., Midwinter, M. J., Pearce, L., Bowley, D. M., Holcomb, J. B., Griffiths, E. A., BEACON Collaborative, Wijnhoven, B. P. L., Bright, T., & Lam, Y. H. (2024). Novel Textbook Outcomes following emergency laparotomy: Delphi exercise. BJS Open, 8(1), Article zrad145. https://doi.org/10.1093/bjsopen/zrad145

@article{d810d9f229c74a41a30c6759b77d3877,

title = "Novel Textbook Outcomes following emergency laparotomy: Delphi exercise",

abstract = "Background: Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. There are many of these in the elective surgery literature but no textbook outcomes have been proposed for patients following emergency laparotomy. The aim was to achieve international consensus amongst experts and patients for the best Textbook Outcomes for non-trauma and trauma emergency laparotomy. Methods: A modified Delphi exercise was undertaken with three planned rounds to achieve consensus regarding the best Textbook Outcomes based on the category, number and importance (Likert scale of 1–5) of individual outcome measures. There were separate questions for non-trauma and trauma. A patient engagement exercise was undertaken after round 2 to inform the final round. Results: A total of 337 participants from 53 countries participated in all three rounds of the exercise. The final Textbook Outcomes were divided into {\textquoteleft}early{\textquoteright} and {\textquoteleft}longer-term{\textquoteright}. For non-trauma patients the proposed early Textbook Outcome was {\textquoteleft}Discharged from hospital without serious postoperative complications (Clavien–Dindo ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation or death). For trauma patients it was {\textquoteleft}Discharged from hospital without unexpected transfusion after haemostasis, and no serious postoperative complications (adapted Clavien–Dindo for trauma ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation on or death){\textquoteright}. The longer-term Textbook Outcome for both non-trauma and trauma was {\textquoteleft}Achieved the early Textbook Outcome, and restoration of baseline quality of life at 1 year{\textquoteright}. Conclusion: Early and longer-term Textbook Outcomes have been agreed by an international consensus of experts for non-trauma and trauma emergency laparotomy. These now require clinical validation with patient data.",

keywords = "laparotomy, wounds and injuries, outcome measures, exercise, Trauma, General Surgery, Acute Care Surgery",

author = "Naumann, {David N.} and Aneel Bhangu and Adam Brooks and Matthew Martin and Cotton, {Bryan A.} and Mansoor Khan and Midwinter, {Mark J.} and Lyndsay Pearce and Bowley, {Douglas M.} and Holcomb, {John B.} and Griffiths, {Ewen A.} and {BEACON Collaborative} and Adam Abu-Abeid and Adam Peckham-Cooper and Dyas, {Adam R.} and Ademola Adeyeye and Agron Dogjani and Ball, {Alasdair C.Y.} and Wolthuis, {Albert M.} and Alejandro Quiroga-Garza and Karamarkovic, {Aleksandar R.} and Alessio Giordano and Alexander Fuchs and Alexander Julianov and Phillips, {Alexander W.} and Alexander Zimmermann and Alexandros Charalabopoulos and Birkun, {Alexei A.} and Narvaez-Rojas, {Alexis Rafael} and Ali Guner and Aly Fayed and Davis, {Amelia L.} and Andras Vereczkei and Andrea Balla and Andrea Celotti and Andrea Romanzi and Andrea Trombetta and Beggs, {Andrew D.} and Robertson, {Andrew G.} and Andrew Petrosoniak and Davies, {Andrew R.} and {\'A}ngel Becerra-Bola{\~n}os and Anthony Loria and Antonio Brillantino and Antonios Athanasiou and Arda Isik and Argyrios Ioannidis and Santos, {Ariel P.} and Saha, {Arin K.} and Arturo Vilches-Moraga and Choudhry, {Asad J.} and Asuka Tsuchiya and Smithers, {B. Mark} and Wijnhoven, {Bas P.L.} and Keeler, {B. D.} and {De Simone}, Belinda and Rodica Birla and Biswadev Mitra and Atanasov, {Boyko Chavdarov} and Brian Badgwell and Brodie Nolan and Kang, {Byung Hee} and Duffy, {Caoimhe C.} and Ordo{\~n}ez, {Carlos A.} and Gomes, {Carlos Augusto} and Mueller, {Carmen L.} and Reinke, {Caroline E.} and Lebares, {Carter C.} and Hunter, {Catherine J.} and Celia Villodre and Guldogan, {Cem E.} and Charalampos Seretis and Adams, {Charles A.} and Pilgrim, {Charles H.C.} and Chris Varghese and Christian Owoo and Meyhoff, {Christian S.} and Fleming, {Christina A.} and Stuart, {Christina M.} and Lewis-Lloyd, {Christopher A.} and McLaughlin, {Christopher J.} and Stevens, {Claire L.} and Graham, {Colin A.} and Conor Magee and Saunders, {David I.} and Yeh, {D. Dante} and Chan, {Daniel L.} and Felsenreich, {Daniel M.} and Holena, {Daniel N.} and Dauda Bawa and Bowrey, {David J.} and Liu, {David S.} and Chan, {David S.Y.} and Nag, {Deb Sanjay} and Haddad, {Diane N.} and Diletta Corallino and Dimitrios Damaskos and Dimitrios Moris and Dimitrios Schizas and Korkolis, {Dimitris P.} and Bagaria, {Dinesh Kumar} and Adamovich, {Dmitry Mikhailovich} and Colquhoun, {Douglas A.} and Dinesh Singhal and Manjunath Siddaiah-Subramanya and Rohit Kapoor and Duncan Wyncoll and {Van Hai}, Duong and Muttillo, {Edoardo Maria} and Edoardo Picetti and Edward Kelly and Efstratia Baili and Takeda, {Flavio Roberto} and Eleonora Pinto and Elif Colak and Elijah Dixon and Elisa Reitano and Elisa Zambaiti and Emiko Sultana and Mills, {Emily C.} and Ley, {Eric J.} and Erik Osterman and Pivalizza, {Evan G.} and Evripidis Tokidis and Ezanno, {Anne Cecile} and Fausto Catena and Federica Pederiva and Federico Coccolini and Felix Nickel and Ferdinando Agresta and Tovar, {Fernando Navarro} and Abu-Zidan, {Fikri M.} and Filip Brzeszczynski and {El Boghdady}, Michael and Francesco Fleres and Francesca Pecchini and Carrano, {Francesco Maria} and Francesco Pata and Francesk Mulita and Fredrik Klevebro and Gabriel Rodrigues and Gaetano Gallo and Gaetano Poillucci and Bass, {Gary Alan} and Geeta Aggarwal and Gennaro Perrone and Geoffrey Roberts and Georgios Koukoulis and Georgios Zacharis and Baiocchi, {Gian Luca} and Gianluca Pellino and Giorgio Lisi and Giovanni Dapri and Giuseppe Brisinda and Goran Augustin and Grigorios Christodoulidis and Guglielmo Imbriaco and Guillaume Ducarme and Rasa, {H. Kemal} and Hamer, {Peter W.} and Hans Lederhuber and Haralds Plaudis and Hayaki Uchino and Hazem Beji and Ferguson, {Henry J.M.} and Cohen, {Hugo M.L.} and Iain Wilson and Kryvoruchko, {Igor A.} and Ilari Kuitunen and Ilaria Benzoni and Ilenia Merlini and Ilze Ose and Imtiaz Wani and Ines Gockel and Ionut Negoi and Irena Gribovskaja-Rupp and Ivan Tomasi and Olaoye, {Iyiade Olatunde} and Kenington, {J. Cleo} and Roth, {J. Scott} and Jacob Rosenberg and Jacopo Vigan{\`o} and Williamson, {James Matthew Lloyd} and {De Waele}, {Jan J.} and Smith, {Jason E.} and Jeffry Nahmias and Stevens, {Jennifer L.} and Jennifer Rickard and Mah, {Jin Jiun} and Waalwijk, {Job F.} and Taylor, {John V.} and Yuval, {Jonathan B.} and Kauppila, {Joonas H.} and Joseph Cuschieri and Brown, {Joshua B.} and Rivas, {Juan Gomez} and Juliet Emamaullee and K. Lasithiotakis and Katherine McKenzie and Kazuhide Matsushima and Koivusalo, {A. I.} and Almond, {L. Max} and Lars Konge and Jorgensen, {Lars N.} and Laurent Genser and Napolitano, {L. M.} and Brown, {Leo R.} and Kaplan, {Lewis J.} and Luca Degrate and Luigi Bonavina and Lynne Moore and Mahir Gachabayov and Dornseifer, {Mamun David} and Avest, {Ewoud Ter} and Mansour Abdulshafea and Ribeiro, {Marcelo A.F.} and Marcello Migliore and Marco Ceresoli and Marco Clementi and Marco Scarpa and Maria Olausson and Sousa, {Mariana R.F.} and Mario Giuffrida and Mario D'Oria and Mario Pacilli and Martin Czerny and Martin Reichert and Martin Ruteg{\aa}rd and Maryam Bahreini and Matthew Forshaw and Lee, {Matthew J.} and Matti Tolonen and Matyas Fehervari and Maurizio Rho and Mauro Podda and Maxime L{\'e}ger and Maximos Frountzas and Chisthi, {Meer M.} and Lewis, {Meghan R.} and M{\'e}lanie B{\'e}rub{\'e} and Melissa Oliveira-Cunha and Marsden, {Max E.R.} and Mesut Tez and Micaela Piccoli and Bath, {Michael F.} and Michael Flanagan and Michael Gottlieb and Pearl, {Michael L.} and Achiam, {Michael P.} and Tim Bright and Lam, {Yick Ho}",

year = "2024",

month = feb,

doi = "10.1093/bjsopen/zrad145",

language = "English",

volume = "8",

journal = "BJS Open",

issn = "2474-9842",

publisher = "Oxford University Press",

number = "1",

}

TY - JOUR

T1 - Novel Textbook Outcomes following emergency laparotomy

T2 - Delphi exercise

AU - Naumann, David N.

AU - Bhangu, Aneel

AU - Brooks, Adam

AU - Martin, Matthew

AU - Cotton, Bryan A.

AU - Khan, Mansoor

AU - Midwinter, Mark J.

AU - Pearce, Lyndsay

AU - Bowley, Douglas M.

AU - Holcomb, John B.

AU - Griffiths, Ewen A.

AU - BEACON Collaborative

AU - Abu-Abeid, Adam

AU - Peckham-Cooper, Adam

AU - Dyas, Adam R.

AU - Adeyeye, Ademola

AU - Dogjani, Agron

AU - Ball, Alasdair C.Y.

AU - Wolthuis, Albert M.

AU - Quiroga-Garza, Alejandro

AU - Karamarkovic, Aleksandar R.

AU - Giordano, Alessio

AU - Fuchs, Alexander

AU - Julianov, Alexander

AU - Phillips, Alexander W.

AU - Zimmermann, Alexander

AU - Charalabopoulos, Alexandros

AU - Birkun, Alexei A.

AU - Narvaez-Rojas, Alexis Rafael

AU - Guner, Ali

AU - Fayed, Aly

AU - Davis, Amelia L.

AU - Vereczkei, Andras

AU - Balla, Andrea

AU - Celotti, Andrea

AU - Romanzi, Andrea

AU - Trombetta, Andrea

AU - Beggs, Andrew D.

AU - Robertson, Andrew G.

AU - Petrosoniak, Andrew

AU - Davies, Andrew R.

AU - Becerra-Bolaños, Ángel

AU - Loria, Anthony

AU - Brillantino, Antonio

AU - Athanasiou, Antonios

AU - Isik, Arda

AU - Ioannidis, Argyrios

AU - Santos, Ariel P.

AU - Saha, Arin K.

AU - Vilches-Moraga, Arturo

AU - Choudhry, Asad J.

AU - Tsuchiya, Asuka

AU - Smithers, B. Mark

AU - Wijnhoven, Bas P.L.

AU - Keeler, B. D.

AU - De Simone, Belinda

AU - Birla, Rodica

AU - Mitra, Biswadev

AU - Atanasov, Boyko Chavdarov

AU - Badgwell, Brian

AU - Nolan, Brodie

AU - Kang, Byung Hee

AU - Duffy, Caoimhe C.

AU - Ordoñez, Carlos A.

AU - Gomes, Carlos Augusto

AU - Mueller, Carmen L.

AU - Reinke, Caroline E.

AU - Lebares, Carter C.

AU - Hunter, Catherine J.

AU - Villodre, Celia

AU - Guldogan, Cem E.

AU - Seretis, Charalampos

AU - Adams, Charles A.

AU - Pilgrim, Charles H.C.

AU - Varghese, Chris

AU - Owoo, Christian

AU - Meyhoff, Christian S.

AU - Fleming, Christina A.

AU - Stuart, Christina M.

AU - Lewis-Lloyd, Christopher A.

AU - McLaughlin, Christopher J.

AU - Stevens, Claire L.

AU - Graham, Colin A.

AU - Magee, Conor

AU - Saunders, David I.

AU - Yeh, D. Dante

AU - Chan, Daniel L.

AU - Felsenreich, Daniel M.

AU - Holena, Daniel N.

AU - Bawa, Dauda

AU - Bowrey, David J.

AU - Liu, David S.

AU - Chan, David S.Y.

AU - Nag, Deb Sanjay

AU - Haddad, Diane N.

AU - Corallino, Diletta

AU - Damaskos, Dimitrios

AU - Moris, Dimitrios

AU - Schizas, Dimitrios

AU - Korkolis, Dimitris P.

AU - Bagaria, Dinesh Kumar

AU - Adamovich, Dmitry Mikhailovich

AU - Colquhoun, Douglas A.

AU - Singhal, Dinesh

AU - Siddaiah-Subramanya, Manjunath

AU - Kapoor, Rohit

AU - Wyncoll, Duncan

AU - Van Hai, Duong

AU - Muttillo, Edoardo Maria

AU - Picetti, Edoardo

AU - Kelly, Edward

AU - Baili, Efstratia

AU - Takeda, Flavio Roberto

AU - Pinto, Eleonora

AU - Colak, Elif

AU - Dixon, Elijah

AU - Reitano, Elisa

AU - Zambaiti, Elisa

AU - Sultana, Emiko

AU - Mills, Emily C.

AU - Ley, Eric J.

AU - Osterman, Erik

AU - Pivalizza, Evan G.

AU - Tokidis, Evripidis

AU - Ezanno, Anne Cecile

AU - Catena, Fausto

AU - Pederiva, Federica

AU - Coccolini, Federico

AU - Nickel, Felix

AU - Agresta, Ferdinando

AU - Tovar, Fernando Navarro

AU - Abu-Zidan, Fikri M.

AU - Brzeszczynski, Filip

AU - El Boghdady, Michael

AU - Fleres, Francesco

AU - Pecchini, Francesca

AU - Carrano, Francesco Maria

AU - Pata, Francesco

AU - Mulita, Francesk

AU - Klevebro, Fredrik

AU - Rodrigues, Gabriel

AU - Gallo, Gaetano

AU - Poillucci, Gaetano

AU - Bass, Gary Alan

AU - Aggarwal, Geeta

AU - Perrone, Gennaro

AU - Roberts, Geoffrey

AU - Koukoulis, Georgios

AU - Zacharis, Georgios

AU - Baiocchi, Gian Luca

AU - Pellino, Gianluca

AU - Lisi, Giorgio

AU - Dapri, Giovanni

AU - Brisinda, Giuseppe

AU - Augustin, Goran

AU - Christodoulidis, Grigorios

AU - Imbriaco, Guglielmo

AU - Ducarme, Guillaume

AU - Rasa, H. Kemal

AU - Hamer, Peter W.

AU - Lederhuber, Hans

AU - Plaudis, Haralds

AU - Uchino, Hayaki

AU - Beji, Hazem

AU - Ferguson, Henry J.M.

AU - Cohen, Hugo M.L.

AU - Wilson, Iain

AU - Kryvoruchko, Igor A.

AU - Kuitunen, Ilari

AU - Benzoni, Ilaria

AU - Merlini, Ilenia

AU - Ose, Ilze

AU - Wani, Imtiaz

AU - Gockel, Ines

AU - Negoi, Ionut

AU - Gribovskaja-Rupp, Irena

AU - Tomasi, Ivan

AU - Olaoye, Iyiade Olatunde

AU - Kenington, J. Cleo

AU - Roth, J. Scott

AU - Rosenberg, Jacob

AU - Viganò, Jacopo

AU - Williamson, James Matthew Lloyd

AU - De Waele, Jan J.

AU - Smith, Jason E.

AU - Nahmias, Jeffry

AU - Stevens, Jennifer L.

AU - Rickard, Jennifer

AU - Mah, Jin Jiun

AU - Waalwijk, Job F.

AU - Taylor, John V.

AU - Yuval, Jonathan B.

AU - Kauppila, Joonas H.

AU - Cuschieri, Joseph

AU - Brown, Joshua B.

AU - Rivas, Juan Gomez

AU - Emamaullee, Juliet

AU - Lasithiotakis, K.

AU - McKenzie, Katherine

AU - Matsushima, Kazuhide

AU - Koivusalo, A. I.

AU - Almond, L. Max

AU - Konge, Lars

AU - Jorgensen, Lars N.

AU - Genser, Laurent

AU - Napolitano, L. M.

AU - Brown, Leo R.

AU - Kaplan, Lewis J.

AU - Degrate, Luca

AU - Bonavina, Luigi

AU - Moore, Lynne

AU - Gachabayov, Mahir

AU - Dornseifer, Mamun David

AU - Avest, Ewoud Ter

AU - Abdulshafea, Mansour

AU - Ribeiro, Marcelo A.F.

AU - Migliore, Marcello

AU - Ceresoli, Marco

AU - Clementi, Marco

AU - Scarpa, Marco

AU - Olausson, Maria

AU - Sousa, Mariana R.F.

AU - Giuffrida, Mario

AU - D'Oria, Mario

AU - Pacilli, Mario

AU - Czerny, Martin

AU - Reichert, Martin

AU - Rutegård, Martin

AU - Bahreini, Maryam

AU - Forshaw, Matthew

AU - Lee, Matthew J.

AU - Tolonen, Matti

AU - Fehervari, Matyas

AU - Rho, Maurizio

AU - Podda, Mauro

AU - Léger, Maxime

AU - Frountzas, Maximos

AU - Chisthi, Meer M.

AU - Lewis, Meghan R.

AU - Bérubé, Mélanie

AU - Oliveira-Cunha, Melissa

AU - Marsden, Max E.R.

AU - Tez, Mesut

AU - Piccoli, Micaela

AU - Bath, Michael F.

AU - Flanagan, Michael

AU - Gottlieb, Michael

AU - Pearl, Michael L.

AU - Achiam, Michael P.

AU - Bright, Tim

AU - Lam, Yick Ho

PY - 2024/2

Y1 - 2024/2

N2 - Background: Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. There are many of these in the elective surgery literature but no textbook outcomes have been proposed for patients following emergency laparotomy. The aim was to achieve international consensus amongst experts and patients for the best Textbook Outcomes for non-trauma and trauma emergency laparotomy. Methods: A modified Delphi exercise was undertaken with three planned rounds to achieve consensus regarding the best Textbook Outcomes based on the category, number and importance (Likert scale of 1–5) of individual outcome measures. There were separate questions for non-trauma and trauma. A patient engagement exercise was undertaken after round 2 to inform the final round. Results: A total of 337 participants from 53 countries participated in all three rounds of the exercise. The final Textbook Outcomes were divided into ‘early’ and ‘longer-term’. For non-trauma patients the proposed early Textbook Outcome was ‘Discharged from hospital without serious postoperative complications (Clavien–Dindo ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation or death). For trauma patients it was ‘Discharged from hospital without unexpected transfusion after haemostasis, and no serious postoperative complications (adapted Clavien–Dindo for trauma ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation on or death)’. The longer-term Textbook Outcome for both non-trauma and trauma was ‘Achieved the early Textbook Outcome, and restoration of baseline quality of life at 1 year’. Conclusion: Early and longer-term Textbook Outcomes have been agreed by an international consensus of experts for non-trauma and trauma emergency laparotomy. These now require clinical validation with patient data.

AB - Background: Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. There are many of these in the elective surgery literature but no textbook outcomes have been proposed for patients following emergency laparotomy. The aim was to achieve international consensus amongst experts and patients for the best Textbook Outcomes for non-trauma and trauma emergency laparotomy. Methods: A modified Delphi exercise was undertaken with three planned rounds to achieve consensus regarding the best Textbook Outcomes based on the category, number and importance (Likert scale of 1–5) of individual outcome measures. There were separate questions for non-trauma and trauma. A patient engagement exercise was undertaken after round 2 to inform the final round. Results: A total of 337 participants from 53 countries participated in all three rounds of the exercise. The final Textbook Outcomes were divided into ‘early’ and ‘longer-term’. For non-trauma patients the proposed early Textbook Outcome was ‘Discharged from hospital without serious postoperative complications (Clavien–Dindo ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation or death). For trauma patients it was ‘Discharged from hospital without unexpected transfusion after haemostasis, and no serious postoperative complications (adapted Clavien–Dindo for trauma ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation on or death)’. The longer-term Textbook Outcome for both non-trauma and trauma was ‘Achieved the early Textbook Outcome, and restoration of baseline quality of life at 1 year’. Conclusion: Early and longer-term Textbook Outcomes have been agreed by an international consensus of experts for non-trauma and trauma emergency laparotomy. These now require clinical validation with patient data.

KW - laparotomy

KW - wounds and injuries

KW - outcome measures

KW - exercise

KW - Trauma

KW - General Surgery

KW - Acute Care Surgery

UR - http://www.scopus.com/inward/record.url?scp=85183736629&partnerID=8YFLogxK

U2 - 10.1093/bjsopen/zrad145

DO - 10.1093/bjsopen/zrad145

M3 - Article

C2 - 38284399

AN - SCOPUS:85183736629

SN - 2474-9842

VL - 8

JO - BJS Open

JF - BJS Open

IS - 1

M1 - zrad145

ER -

Novel Textbook Outcomes following emergency laparotomy: Delphi exercise

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Keywords

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