Rural Emergency Laparotomy Audit

Matthew M. Watson, Guy J. Maddern, V. Priyantha K. Mudalige, Chetan P. Pradhan, Matthias W. Wichmann

Research output: Contribution to journalArticle

Abstract

Background: Emergency laparoscopy/laparotomy is associated with high levels of mortality. The aim of this study was to determine whether outcomes following emergency laparoscopy/laparotomy in rural and regional South Australian hospitals were comparable to those reported in the National Emergency Laparotomy Audit and Perth Emergency Laparotomy Audit. Methods: A prospective multicentre audit of patients who undergo emergency laparoscopy/laparotomy. Participating hospitals included Mount Gambier and Districts Health Service, Whyalla Hospital and Riverland General Hospital. Inclusion and exclusion criteria were identical to the National Emergency Laparotomy Audit. A modified dataset for patients was collected if patients were up-transferred to another hospital prior to operative management. Data collected included patient demographics, operative management, adherence to processes of care and outcomes. Results: Data were collected for a total of 58 cases. Fifty-one of these had emergency laparoscopy/laparotomy in a rural or regional hospital and seven were transferred in the preoperative period. The median Portsmouth-Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity predicted 30-day post-operative mortality was 3.5%. One hundred percent of patients (51 out of 51) had a consultant anaesthetist and surgeon present in the operating theatre. There were no deaths reported within the 30-day post-operative period. Conclusion: Outcomes following emergency laparoscopy/laparotomy in rural and regional South Australian hospitals are comparable to those reported in the National Emergency Laparotomy Audit and Perth Emergency Laparotomy Audit.

Original languageEnglish
Pages (from-to)666-671
Number of pages6
JournalANZ Journal of Surgery
Volume89
Issue number6
DOIs
Publication statusPublished - Jun 2019

Keywords

  • emergency
  • inter-hospital patient transfer
  • laparotomy
  • outcomes
  • rural

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    Watson, M. M., Maddern, G. J., Mudalige, V. P. K., Pradhan, C. P., & Wichmann, M. W. (2019). Rural Emergency Laparotomy Audit. ANZ Journal of Surgery, 89(6), 666-671. https://doi.org/10.1111/ans.15167