Table 1 The baseline demographic and peri-operative data in this cohort of emergency laparotomy patients aged 65 years and above with complete 90-day follow up. ASA; American association of anaesthesiologists physical status classification. CFS; Rockwood clinical frailty scale. EmLap; emergency laparotomy
From: Changes in frailty status and discharge destination post emergency laparotomy
Characteristics | Number (%) |
|---|---|
Sex | |
Male Female | 27 (42.9%) 36 (57.1%) |
Charlson Co-Morbidity Index Score | |
Mild (≤ 2) Moderate (3–4) Severe (≥ 5) | 5 (8.0%) 36 (57.1%) 22 (34.9%) |
ASA | |
1 2 3 4 5 | 0 20 (31.7%) 27 (42.9%) 15 (23.8%) 1 (1.6%) |
CFS pre-EmLap | |
< 4 (non-frail) 4 (pre-frail) > 4 (frail) | 16 (25.4%) 36 (57.1%) 11 (17.5%) |
Admission source pre-EmLap | |
Home independent Home with package of care Care home | 50 (79.4%) 13 (20.6%) 0 |
Indication for EmLap | |
Small bowel obstruction Lower gastrointestinal perforation Large bowel obstruction Anastomotic leak Incarcerated hernia containing bowel Acute mesenteric ischemia Upper gastrointestinal perforation Fistula Colitis | 31 (47.6) 10 (15.9%) 9 (14.3%) 4 (6.3) 3 (4.8%) 3 (4.8%) 2 (3.2%) 1 (1.6%) 1 (1.6%) |
Type of EmLap procedure | |
Adhesiolysis Right colectomy Small bowel resection Hartmann’s procedure Subtotal colectomy Resection of anastomosis Omental patch repair Enterolithotomy Defunctioning colostomy Thrombectomy of superior mesenteric artery | 16 (25.4%) 13 (20.6%) 10 (15.9%) 10 (15.9%) 4 (6.3%) 4 (6.3%) 2 (3.2%) 2 (3.2%) 1 (1.6%) 1 (1.6%) |