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Emergency laparotomy: lack of geriatrician input leaves frail patients at double risk of death

BMJ (Online), 2020-11, Vol.371, p.m4437-m4437 [Peer Reviewed Journal]

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to ;Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go tohttp://group.bmj.com/group/rights-licensing/permissions2020BMJ ;ISSN: 1756-1833 ;EISSN: 1756-1833 ;DOI: 10.1136/bmj.m4437

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  • Title:
    Emergency laparotomy: lack of geriatrician input leaves frail patients at double risk of death
  • Author: Kmietowicz, Zosia
  • Subjects: Audits ; Frailty ; Geriatrics ; Hospitals ; Intestine ; Laparotomy ; Mortality ; Patients ; Sepsis ; Surgery
  • Is Part Of: BMJ (Online), 2020-11, Vol.371, p.m4437-m4437
  • Description: Older frail patients undergoing emergency laparotomy have double the 30 day mortality rate of younger, healthier patients because they are not getting input from geriatricians, an audit has found.1 The care of around 24 800 patients who had emergency bowel surgery in NHS hospitals in England and Wales between December 2018 and November 2019 was reviewed for the National Emergency Laparotomy Audit. “Without the formal integration of geriatric care into general surgery, thousands of frail and elderly patients will continue to be denied vital checks, which could mean the difference between life and death when undergoing an emergency laparotomy,” he said. Arturo Vilches-Moraga, representative of the British Geriatrics Society on the audit research group, said that few hospitals provide geriatrician led liaison services into general surgery.
  • Publisher: London: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 1756-1833
    EISSN: 1756-1833
    DOI: 10.1136/bmj.m4437
  • Source: ProQuest Central
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