Journal article
Increased use of damage control laparotomy for emergency small bowel or colon surgery: does it affect patient outcomes?
European journal of trauma and emergency surgery (Munich : 2007), Vol.51(1), 59
01/24/2025
DOI: 10.1007/s00068-024-02700-x
PMCID: PMC12665217
PMID: 39856341
Abstract
Purpose
Evidence to guide the application of damage control laparotomy (DCL) in emergency surgery patients is limited. We assessed whether DCL use for emergent small bowel or colon surgery increased over time and its impact on outcomes. We hypothesized that DCL would be utilized more often in patients with significant comorbidities or septic shock with improved outcomes.
Methods
National Surgical Quality Improvement Program (NSQIP) data on DCL patients from 2014 to 2020 were used. Endpoints were incidence of DCL, in-hospital mortality, hospital length of stay (LOS), complications, and 30-day readmission over time. P-values < 0.05 were considered statistically significant.
Results
DCL incidence increased over time (OR = 1.07 [1.05–1.08],
p
< 0.001). Presence of pre-operative septic shock increased over the years (OR = 1.04 [1.01–1.07],
p
= 0.007). Mortality, readmission, and post-operative septic complications did not change over the study period. Average LOS significantly decreased over time (OR = 0.93 [0.92–0.95],
p
< 0.001).
Conclusion
The odds of a surgeon using DCL increased by 7% each year. Although pre-operative septic shock incidence increased, LOS decreased over time while mortality remained unchanged.
Details
- Title: Subtitle
- Increased use of damage control laparotomy for emergency small bowel or colon surgery: does it affect patient outcomes?
- Creators
- Connor P. Littlefield - University of IowaMaosong Ye - University of IowaLinder Wendt - University of IowaColette Galet - University of IowaKevin Huang - University of IowaDionne A. Skeete - University of Iowa
- Resource Type
- Journal article
- Publication Details
- European journal of trauma and emergency surgery (Munich : 2007), Vol.51(1), 59
- DOI
- 10.1007/s00068-024-02700-x
- PMID
- 39856341
- PMCID
- PMC12665217
- NLM abbreviation
- Eur J Trauma Emerg Surg
- ISSN
- 1863-9933
- eISSN
- 1863-9941
- Publisher
- Springer Berlin Heidelberg
- Grant note
- UM1TR004403 / National Center For Advancing Translational Sciences of the National Institutes of Health
- Language
- English
- Date published
- 01/24/2025
- Academic Unit
- Orthopedics and Rehabilitation; Surgery; Injury Prevention Research Center
- Record Identifier
- 9984775014802771
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