{'fraction_non_alphanumeric': 0.022941970310391364, 'fraction_numerical': 0.04993252361673414, 'mean_word_length': 4.751937984496124, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Emergency laparotomy: lack of geriatrician input leaves frail patients at double risk of death

Older frail patients undergoing emergency laparotomy have double the 30 day mortality rate of younger, healthier patients because they are not getting input from geriatricians, an audit has found.1

The care of around 24 800 patients who had emergency bowel surgery in NHS hospitals in England and Wales between December 2018 and November 2019 was reviewed for the National Emergency Laparotomy Audit.

Overall, 30 day mortality reduced from 11.8% in 2013 to 9.3% in 2019, research from the Royal College of Anaesthetists shows. But among patients over 65 who were frail, 30 day mortality was 18%.

Of the patients having this type of surgery, …