Surgical mortality in patients in extremis: futility in emergency abdominal surgery.

ABSTRACT:

Background

The number of older patients with multiple comorbidities in the emergency service is increasingly frequent, which implies the risk of incurring in futile surgical interventions. Some interventions generate false expectations of survival or quality of life in patients and families and represent a negligible therapeutic benefit in patients whose chances of survival are minimal. In order to address this dilemma, we describe mortality in a cohort of patients undergoing emergency laparotomy with a risk ≥ 75% per the ACS NSQIP Surgical Risk Calculator.

Methods

A retrospective observational study was designed to analyze postoperative mortality and factors associated with postoperative mortality in a cohort of patients undergoing emergency laparotomy between January 2018

SUBMITTER: Ramirez-Giraldo C 

PROVIDER: S-EPMC9881309 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature