Improving Outcomes Of Emergency Bowel Surgery Using Nela Model

Abstract

This study helped in understanding the deficiencies in the care of patients undergoing emergency bowel surgery and alarmingly poor outcomes in a very systematic manner. In view of results of this study, it is planned to do interventions in the deficient areas to improve care given to these patients and their outcomes with the limited resources of a developing country.

New Zealand and Australia emergency laparotomy mortality rates compare favourably to international outcomes: a systematic review

“…37 Ten papers were from a single centre studies, 10,12,13,22,23,25,26,28,32,37 nine were multi-centre studies 3,[5][6][7][14][15][16][17]27,29 and 17 were whole country studies. 1,2,4,[18][19][20][21]24,30,31,[33][34][35][36] Twenty-five studies were retrospective 1,2,[4][5][6][7]10,12,13,15,[18][19][20][21][24][25][26]…”

“…1). Of the 33 included studies, four were from NZ, 1,10,12,13 six from Australia, 2,5,6,14–16 11 from the UK, 3,4,17–25 seven from Denmark, 7,26–31 five from the USA 32–36 and one from Pakistan 37 …”

“…Ten papers were from a single centre studies, 10,12,13,22,23,25,26,28,32,37 nine were multi‐centre studies 3,5–7,14–17,27,29 and 17 were whole country studies 1,2,4,18–21,24,30,31,33–36 . Twenty‐five studies were retrospective 1,2,4–7,10,12,13,15,18–21,24–27,30,32–37 and nine prospective 3,14,16,17,22,23,28,29,31 . Studies ranged in size from 58 to 75 280 patients with a mean number of 13 189 patients per study.…”

“…Of the 33 included studies, four were from NZ, 1,10,12,13 six from Australia, 2,5,6,14-16 11 from the UK, 3,4,[17][18][19][20][21][22][23][24][25] seven from Denmark, 7,[26][27][28][29][30][31] five from the USA [32][33][34][35][36] and one from Pakistan. 37 Ten papers were from a single centre studies, 10,12,13,22,23,25,26,28,32,37 nine were multi-centre studies 3,[5][6][7][14][15][16][17]27,29 and 17 were whole country studies. 1,2,4,...…”