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Rural Emergency Laparotomy Audit.

Matthew M Watson1,2,3,4, Guy J Maddern2, V Priyantha K Mudalige2,3,5

  • 1Department of General Surgery, Mount Gambier and Districts Health Service, Mount Gambier, South Australia, Australia.

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Summary
This summary is machine-generated.

Outcomes for emergency laparoscopy/laparotomy in rural South Australian hospitals match national benchmarks. This study found no 30-day post-operative deaths, indicating comparable results to major audits.

Keywords:
emergencyinter-hospital patient transferlaparotomyoutcomesrural

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Area of Science:

  • Surgical Outcomes
  • Rural Healthcare
  • Emergency Medicine

Background:

  • Emergency laparoscopy/laparotomy procedures carry a high mortality risk.
  • Assessing outcomes in rural settings is crucial for equitable healthcare.
  • Existing national audits provide benchmarks for emergency laparotomy care.

Purpose of the Study:

  • To compare emergency laparoscopy/laparotomy outcomes in rural South Australian hospitals with national audit data.
  • To evaluate the quality of care provided in regional healthcare settings.
  • To identify potential disparities in emergency surgical outcomes.

Main Methods:

  • A prospective multicentre audit was conducted in three rural/regional South Australian hospitals.
  • Inclusion/exclusion criteria mirrored the National Emergency Laparotomy Audit.
  • Data included demographics, operative management, adherence to care processes, and patient outcomes.

Main Results:

  • 58 cases were analyzed; 51 underwent procedures in rural/regional hospitals.
  • The predicted 30-day mortality rate was 3.5% (median Portsmouth-P.O.S.S.E.).
  • 100% of patients had consultant anesthetist and surgeon presence; zero 30-day post-operative deaths were recorded.

Conclusions:

  • Emergency laparoscopy/laparotomy outcomes in rural South Australian hospitals are comparable to national and Perth audits.
  • High-quality care, including consultant presence, is achievable in regional settings.
  • Rural emergency surgical outcomes can meet established benchmarks.