ASGBI trauma committee position statement: a national audit of trauma laparotomy in the UK – an unmet need

Patients who undergo laparotomy for major trauma are amongst the most critically unwell patients, and they have high morbidity and mortality rates. Despite 20 yr of improvements in resuscitation practices, those who present with hypotension continue to have mortality rates of up to 50%. Currently th...

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Published inBritish journal of anaesthesia : BJA Vol. 132; no. 5; pp. 849 - 850
Main Authors Shepherd, Joanna M., Vulliamy, Paul, Marsden, Max E.R., Hancorn, Kate
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.05.2024
Subjects
laparotomy
national audit
perioperative care
quality assurance
trauma
trauma
national audit
quality assurance
laparotomy
perioperative care
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Summary:Patients who undergo laparotomy for major trauma are amongst the most critically unwell patients, and they have high morbidity and mortality rates. Despite 20 yr of improvements in resuscitation practices, those who present with hypotension continue to have mortality rates of up to 50%. Currently there is no mechanism for capturing national audit data on these patients, leading to their exclusion from potential quality improvement initiatives. We argue that there is an unmet need for quality assurance in this patient cohort and outline possible mechanisms to address this.
Bibliography:SourceType-Other Sources-1
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ObjectType-Commentary-1
ISSN:0007-0912
1471-6771
DOI:10.1016/j.bja.2024.03.001