Death is not the worst that can happen: risk scoring and outcomes in emergency laparotomy

Data‐driven decision‐making for extreme‐risk emergency laparotomy: a national success story?

“…Whilst saying ‘yes’ to more interventions for a high‐risk patient who is unwell can be easy, drawing a line between benefit and harm for these interventions is not. The National Emergency Laparotomy Audit (NELA) risk calculator is well‐validated and used widely, and most clinicians now have an appreciation of its benefits and limitations [1]. Javanmard‐Emamghissi et al.…”

“…Twitter/X: @eimearkeane_ Whilst saying `yes´to more interventions for a high-risk patient who is unwell can be easy, drawing a line between benefit and harm for these interventions is not. The National Emergency Laparotomy Audit (NELA) risk calculator is wellvalidated and used widely, and most clinicians now have an appreciation of its benefits and limitations [1]. Javanmard-Emamghissi et al add further valuable information to this knowledge base by studying a cohort of 5193 patients at `extreme´mortality risk for emergency laparotomy [2].…”