{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T06:40:39Z","timestamp":1792478439430,"version":"4.5.0"},"reference-count":45,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients undergoing high\u2010risk emergency abdominal surgery have a high risk of postoperative complications and mortality. International studies suggest that standardised care protocol guidelines may improve outcomes, yet little is known about the dissemination of such guidelines in Denmark.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a nationwide cross\u2010sectional survey among Danish public hospitals treating high\u2010risk emergency abdominal surgical patients. Anaesthesiologists and surgeons responsible for emergency abdominal surgery were invited to report on the presence of joint care protocols, including core components, audit practices and barriers to implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 35 out of 41 eligible departments (85%) responded, representing 20 out of 23 hospitals. Almost all participating hospitals (95%) reported having a joint guideline for high\u2010risk emergency abdominal surgery. The most included components were antibiotics within 3\u2009h (90%), CT scan within 2\u2009h (90%) and intended surgery within 6\u2009h. Only 47% of hospitals showed agreement between surgeons and anaesthesiologists on six or more core components. Audits were conducted in 90% of hospitals, with variations between departments in audit methods and focus. The most frequently reported barriers were limited resources in specialised units, surgical capacity and time constraints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This survey showed that nearly all Danish hospitals treating high\u2010risk emergency abdominal surgical patients reported having a joint guideline endorsed by both the surgical and anaesthesiology departments. Time\u2010critical components aiming at early diagnosis and treatment were the most frequently included core components in the guideline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Editorial Comment<\/jats:title>\n                    <jats:p>This survey\u2010based report describes how many Danish hospitals have a local guiding document for perioperative anaesthesia and surgical care for cases of high\u2010risk emergency abdominal surgery. The most common components of these across hospitals are described.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aas.70341","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:10:31Z","timestamp":1790896231000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Dissemination of Standardised Care Protocol Guidelines for High\u2010Risk Emergency Abdominal Surgery Patients in Denmark"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6983-0622","authenticated-orcid":false,"given":"Ines Victoria F\u00f8ns","family":"Gj\u00f8rup","sequence":"first","affiliation":[{"name":"Herlev Anesthesia Critical and Emergency Care Science Unit (Herlev ACES), Department of Anesthesiology Copenhagen University Hospital Herlev\u2010Gentofte  Herlev Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7084-9200","authenticated-orcid":false,"given":"Kim","family":"Wildgaard","sequence":"additional","affiliation":[{"name":"Herlev Anesthesia Critical and Emergency Care Science Unit (Herlev ACES), Department of Anesthesiology Copenhagen University Hospital Herlev\u2010Gentofte  Herlev Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8367-7831","authenticated-orcid":false,"given":"Jakob","family":"Burcharth","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"},{"name":"Emergency Surgery Research Group Copenhagen (EMERGE), Department of Surgery Copenhagen University Hospital Herlev\u2010Gentofte  Herlev Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8999-0140","authenticated-orcid":false,"given":"Morten","family":"Vester\u2010Andersen","sequence":"additional","affiliation":[{"name":"Herlev Anesthesia Critical and Emergency Care Science Unit (Herlev ACES), Department of Anesthesiology Copenhagen University Hospital Herlev\u2010Gentofte  Herlev Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13721"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-016-1493-1"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-020-05580-5"},{"key":"e_1_2_10_5_1","article-title":"A Nationwide Cohort Study of Short\u2010 and Long\u2010Term Outcomes Following Emergency Laparotomy","author":"Jeppesen M. 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