{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T01:46:36Z","timestamp":1793670396886,"version":"4.5.1"},"reference-count":36,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T00:00:00Z","timestamp":1718582400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Major emergency abdominal surgery is associated with severe postoperative complications and high short\u2010 and long\u2010term mortality. Despite recent advancements in standardizing multidisciplinary care bundles, a subgroup of patients continues to face a heightened risk of short\u2010term mortality. This study aimed to identify and describe the high\u2010risk surgical patients and risk factors for short\u2010term postoperative mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this study, we included all patients undergoing major emergency abdominal surgery over 2\u00a0years and collected data on demographics, intraoperative variables, and short\u2010term outcomes. The primary outcome measure was short\u2010term mortality and secondary outcome measures were pre, intra, and postoperative risk factors for premature death. Multivariable binary regression analysis was performed to determine possible risk factors for short\u2010term mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Short\u2010term mortality within 14\u00a0days of surgery in this cohort of 754 consecutive patients was 8%. Multivariable analysis identified various independent risk factors for short\u2010term mortality throughout different phases of patient care. These factors included advanced age, preoperative history of myocardial infarction or ischemic heart disease, chronic obstructive pulmonary disease, liver cirrhosis, chronic kidney disease, and vascular bowel ischemia or perforation of the stomach or duodenum during the primary surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients at high risk of early mortality following major emergency abdominal surgery exhibited distinct perioperative risk factors. This study underscores the importance of clinicians identifying and managing these factors in high\u2010risk patients to ensure optimal care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.12254","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T22:29:04Z","timestamp":1718663344000},"page":"1797-1807","source":"Crossref","is-referenced-by-count":19,"title":["Understanding early deaths after major emergency abdominal surgery: An observational study of 754 patients"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6931-4399","authenticated-orcid":false,"given":"Lasse","family":"Rehn\u00e9 Jensen","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal and Hepatic Diseases Copenhagen University Hospital Herlev and Gentofte  Herlev Denmark"},{"name":"Emergency Research Group (EMERGE) Copenhagen Copenhagen University Hospital Herlev and Gentofte  Herlev Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7071-8574","authenticated-orcid":false,"given":"Christian","family":"Snitkj\u00e6r","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Hepatic Diseases Copenhagen University Hospital Herlev and Gentofte  Herlev Denmark"},{"name":"Emergency Research Group (EMERGE) Copenhagen Copenhagen University Hospital Herlev and Gentofte  Herlev Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1544-8927","authenticated-orcid":false,"given":"Dunja","family":"Kokotovic","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Hepatic Diseases Copenhagen University Hospital Herlev and Gentofte  Herlev Denmark"},{"name":"Emergency Research Group (EMERGE) Copenhagen Copenhagen University Hospital Herlev and Gentofte  Herlev 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