TPT 3.08 Impact of Frailty on Quality of Life At 30 and 90 Days Post Emergency Laparotomy

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ID: 324097
2026
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Abstract
Abstract Aims Emergency laparotomy (EmLap) is associated with high mortality and morbidity. However, its impact on post-EmLap quality of life (QoL), particularly among frail patients, remains poorly defined. This study aimed to evaluate the effect of frailty on QoL at 30 and 90 days post-EmLap. Methods Prospectively collected data from EmLap patients age ≥40 years between May'22 and July'23 at a district general hospital were analysed. Frailty was assessed using Clinical Frailty Scale, with scores >4 as frail. QoL was measured at 30 and 90 days post-EmLap using EQ-5D-5L, including utility and EQ-VAS scores. Changes across EQ-5D-5L domains were examined. Wilcoxon signed-rank test compared utility scores between timepoints, and Mann-Whitney U test assessed differences by frailty status. Statistical significant was set at p <0.05. Results 115 EmLap patients completed the EQ-5D-5L questionnaire. 10% were frail. From 30 to 90 days post-EmLap, there was a significant improvement in median EQ-VAS scores (70 to 80) and functional recovery, particularly in usual activities. Median utility scores improved significantly over time (0.850 to 0.916, p<0.001). Although frail patients had lower utility scores at both timepoints (0.717 and 0.922 at days 30 and 90) compared with non-frail patients (0.872 and 0.916), they demonstrated a significantly greater improvement in QoL between both timepoints (p=0.041). Conclusion QoL improves between 30 and 90 days post-EmLap. Despite poorer early post-operative QoL, frail patients experience clinically meaningful recovery by 90 days. These findings support a shift toward frailty-focused EmLap pathways, embedding geriatric expertise and targeted rehabilitation to optimise patient-centred outcomes.
Reference Key
openalex_W7172485239 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Hwei Jene Ng, Tara Quasim, Nicholas Rattray, Susan Moug
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.191
URL
https://doi.org/10.1093/bjs/znag087.191
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