SP 9.05 The Impact of Geriatrics Input on 30-Day Mortality Rates After Emergency Laparotomy in Older Adults in Scotland (ELLSA 2024 Data)
Clicks: 2
ID: 323891
2026
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
Emerging Content
0.3
/100
2 views
1 readers
AI Quality Assessment
Not analyzed
Readership in this journal
EmergingRanked #251 of 432 articles by views in the british journal of surgery
Most read
Least read
Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 432 in total.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Abstract Introduction Frailty is a key determinant of outcomes following emergency laparotomy but recognition and management remains inconsistent across Scotland. Older adults make up a substantial proportion of the emergency general surgery population and experience higher mortality. Using data from the Emergency Laparotomy in Scotland Audit (ELLSA) 2024, we examined the prevalence of frailty in patients aged 65 years and over and explored associations between geriatric input and 30-day postoperative mortality. Results In 2024, ELLSA recorded 1,522 emergency laparotomy procedures, with 50.1% of patients aged 65 years and over. 94 patients aged 65 and over were classified as living with frailty (Clinical Frailty Score of 5 or more). Older patients were stratified by frailty status and whether they had received geriatrics input. 30-day mortality rates were compared between groups. Among non-frail older patients, mortality was lower in those who received geriatric review compared with those who did not (9.0% versus 12.0%). In frail older patients, the difference was greater, with mortality of 17.0% in those reviewed by geriatrics compared with 24.5% in those without specialist input. Conclusion These findings are in keeping with national data from the 10th annual National Emergency Laparotomy Audit (NELA) report. As seen in NELA, frailty was associated with higher mortality and outcomes appeared better among patients who received geriatric input. The consistency between Scottish ELLSA data and national NELA findings supports the external validity of these results and highlights frailty identification and access to geriatrics input as key opportunities for service improvement in emergency laparotomy care.
| Reference Key |
openalex_W7172504083
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | E Groundwater, Susan Moug |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.121
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.