{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:15:00Z","timestamp":1788347700989,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"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":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Emergency laparotomy is associated with substantial morbidity and mortality. While national audits such as ANZELA\u2010QI have driven quality improvement across Australia and New Zealand, data from regional New Zealand centres remain limited. This study audited emergency laparotomy outcomes and processes of care at a regional New Zealand hospital and compared them with ANZELA\u2010QI benchmarks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective audit was conducted of all adult patients undergoing emergency laparotomy or laparoscopy at Taranaki Base Hospital between September 2023 and September 2025. Inclusion and exclusion criteria mirrored those of ANZELA\u2010QI. Data collected included demographics, operative details, consultant involvement, radiology, timeliness to theatre, postoperative outcomes, and 30\u2010day mortality. Outcomes were compared descriptively with ANZELA\u2010QI benchmarks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 126 patients were included (median age 67\u2009years; 50.8% female). Preoperative CT scanning was performed in 96% of cases, with 95.2% reported by a consultant radiologist. Surgery occurred within the assigned urgency timeframe in 86.3% of cases. Consultant surgeons were present in 88.9% of operations and consultant anaesthetists in 100%. Preoperative risk assessment was documented in only 4% of patients. Postoperatively, 42.9% were admitted to critical care and 7.1% returned to theatre. Overall 30\u2010day mortality was 10.3%. Of those alive at discharge, 92.9% returned to their prehospital residence. Only 17.1% of patients aged \u2265\u200965\u2009years received geriatric assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Emergency laparotomy outcomes at this regional New Zealand hospital were comparable to national and international benchmarks, with strong performance in radiology access, consultant involvement, and timeliness to theatre. Key areas for improvement include routine documentation of preoperative risk assessment and increased geriatric involvement for older patients. Regional\u2010specific audits remain essential to inform equitable, high\u2010quality surgical care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70783","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T04:33:18Z","timestamp":1781065998000},"page":"1920-1926","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Emergency Laparotomy in Regional New Zealand: Outcomes and Benchmarking Against\n                    <scp>NELA<\/scp>\n                    Standards"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3627-8610","authenticated-orcid":false,"given":"Li Ning","family":"Yong","sequence":"first","affiliation":[{"name":"University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3710-1035","authenticated-orcid":false,"given":"Edmund","family":"Leung","sequence":"additional","affiliation":[{"name":"University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0b013e32833f5389"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc4928"},{"key":"e_1_2_8_4_1","unstructured":"National Emergency Laparotomy Audit \u201cFirst Patient Report of the National Emergency Laparotomy Audit \u201d(2015) accessed November 24 2025 https:\/\/data.nela.org.uk\/information\/nelareports."},{"key":"e_1_2_8_5_1","unstructured":"National Emergency Laparotomy Audit \u201cTenth Patient Report of the National Emergency Laparotomy Audit \u201d(2025) accessed November 24 2025 https:\/\/data.nela.org.uk\/information\/nelareports."},{"key":"e_1_2_8_6_1","unstructured":"Australian and New Zealand Emergency Laparotomy Audit\u2010 Quality Improvment (ANZELA\u2010QI) \u201cFirst ANZELA\u2010QI Program Summary Report \u201d(2020) https:\/\/www.surgeons.org\/\u2010\/media\/Project\/RACS\/surgeons\u2010org\/files\/morbidity\u2010audits\/ANZELA\u2010QI\u20102020\u2010Report.pdf?rev=919ced91ec5a42f9a0c384f4b66d2673&hash=CED4562F66809274BFF9AFE52DD743C5."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17037"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sipas.2023.100225"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14208"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15167"},{"key":"e_1_2_8_11_1","unstructured":"POMRC \u201cPerioperative Mortality in New Zealand: Sixth Report of the Perioperative Mortality Review Committee \u201d(2017) https:\/\/www.hqsc.govt.nz\/assets\/Our\u2010work\/Mortality\u2010review\u2010committee\/POMRC\/Publications\u2010resources\/POMRC_6th_Report_2017.pdf."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002745"},{"key":"e_1_2_8_13_1","unstructured":"ANZELA\u2010QI \u201cInclusion and Exclusion Crtieria \u201d(2020) https:\/\/www.surgeons.org\/\u2010\/media\/Project\/RACS\/surgeons\u2010org\/files\/morbidity\u2010audits\/ANZELA\u2010QI\u2010Inclusion\u2010Exclusion\u2010Criteria.pdf?rev=896e02ca23284bf2b651bab70921b463&hash=ACAB5E71DBF554A8970D2B074871E3B1."},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.26635\/6965.5495"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11232"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sipas.2024.100264"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010022\u201006638\u20102"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2021.08.045"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911\u2010020\u20101100\u20109"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.19107"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.26502\/jsr.10020198"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14310"},{"issue":"1542","key":"e_1_2_8_23_1","first-page":"15","article-title":"Disparities in Post\u2010Operative Mortality Between M\u0101ori and Non\u2010Indigenous Ethnic Groups in New Zealand","volume":"134","author":"Gurney J.","year":"2021","journal-title":"New Zealand Medical Journal"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70783","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70783","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70783","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:33:56Z","timestamp":1788345236000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70783"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,9]]},"references-count":22,"journal-issue":{"issue":"7-8","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/ans.70783"],"URL":"https:\/\/doi.org\/10.1111\/ans.70783","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,9]]},"assertion":[{"value":"2026-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}