Predictors of negative intraoperative findings at emergent laparotomy in patients with cirrhosis.

ABSTRACT:

Background

Emergent surgery in the setting of decompensated cirrhosis is highly morbid. We sought to determine the clinical factors associated with negative intraoperative findings at emergent laparotomy.

Methods

We performed a retrospective cohort study of consecutive inpatients with a diagnosis of cirrhosis (ICD-9 571) admitted to the Beth Israel Deaconess Medical Center (Boston, MA) who underwent emergent, nonhepatic, abdominal surgery between May 6, 2005 and September 3, 2012.

Results

Eighty-six patients with cirrhosis were included with a mean model for end-stage liver disease score of 21.3 ± 7.95 and a 90-day mortality rate of 39.5%. Twelve (16.2%) patients had negative laparotomies. Negative intraoperative findings were independently associated with (1) paracen

SUBMITTER: Tapper EB 

PROVIDER: S-EPMC5557345 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature