Use of a pathway quality improvement care bundle to reduce mortality after emergency laparotomy.

ABSTRACT:

Background

Emergency laparotomies in the U.K., U.S.A. and Denmark are known to have a high risk of death, with accompanying evidence of suboptimal care. The emergency laparotomy pathway quality improvement care (ELPQuiC) bundle is an evidence-based care bundle for patients undergoing emergency laparotomy, consisting of: initial assessment with early warning scores, early antibiotics, interval between decision and operation less than 6 h, goal-directed fluid therapy and postoperative intensive care.

Methods

The ELPQuiC bundle was implemented in four hospitals, using locally identified strategies to assess the impact on risk-adjusted mortality. Comparison of case mix-adjusted 30-day mortality rates before and after care-bundle implementation was made using risk-adjusted cumula

SUBMITTER: Huddart S 

PROVIDER: S-EPMC4312892 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature