{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T18:29:02Z","timestamp":1767032942584,"version":"3.48.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"vor","delay-in-days":38,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Perioper Med"],"DOI":"10.1186\/s13741-025-00627-4","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T05:12:52Z","timestamp":1763701972000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative findings and predictors for length of hospital stay among elderly patients undergoing emergency exploratory laparotomy: a multi-centre prospective study"],"prefix":"10.1186","volume":"14","author":[{"given":"Anthony","family":"Kagimu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ogbu E.","family":"Ngim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yakubu Sunday","family":"Bot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isaac","family":"Edyedu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace Robert","family":"Iga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theoneste","family":"Hakizimana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Muhumuza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"issue":"7","key":"627_CR1","doi-asserted-by":"publisher","first-page":"913","DOI":"10.1111\/aas.13594","volume":"64","author":"EK Aakre","year":"2020","unstructured":"Aakre EK, Ulvik A, Hufthammer KO, Jammer I. Mortality and complications after emergency laparotomy in patients above 80 years. Acta Anaesthesiol Scand. 2020;64(7):913\u20139. https:\/\/doi.org\/10.1111\/aas.13594.","journal-title":"Acta Anaesthesiol Scand"},{"key":"627_CR2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-011-1101-z","author":"M Busch","year":"2011","unstructured":"Busch M, Gutzwiller FS. In-hospital delay increases the risk of perforation in adults with appendicitis. World J Surg. 2011. https:\/\/doi.org\/10.1007\/s00268-011-1101-z.","journal-title":"World J Surg"},{"issue":"3","key":"627_CR3","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1007\/s00268-019-05240-3","volume":"44","author":"MSH Chua","year":"2020","unstructured":"Chua MSH, Chan DKH. Increased morbidity and mortality of emergency laparotomy in elderly patients. World J Surg. 2020;44(3):711\u201320. https:\/\/doi.org\/10.1007\/s00268-019-05240-3.","journal-title":"World J Surg"},{"key":"627_CR4","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2023.1220024","author":"AS Endeshaw","year":"2023","unstructured":"Endeshaw AS, Molla MT, Kumie FT. Perioperative mortality among geriatric patients in Ethiopia: a prospective cohort study. Front Med. 2023. https:\/\/doi.org\/10.3389\/fmed.2023.1220024.","journal-title":"Front Med"},{"issue":"2","key":"627_CR5","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1016\/j.surg.2020.04.019","volume":"168","author":"SM Fan","year":"2020","unstructured":"Fan SM, Grigorian A, Smith BR, Kuza CM, Lekawa M, Schubl SD, et al. Geriatric patients undergoing appendectomy have increased risk of intraoperative perforation and\/or abscess. Surg (United States). 2020;168(2):322\u20137. https:\/\/doi.org\/10.1016\/j.surg.2020.04.019.","journal-title":"Surg (United States)"},{"issue":"4","key":"627_CR6","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1007\/s40140-021-00500-2","volume":"11","author":"JM Halle-Smith","year":"2021","unstructured":"Halle-Smith JM, Naumann DN, Powell SL, Naumann LK, Griffiths EA. Improving outcomes for elderly patients following emergency surgery: a cutting-edge review. Curr Anesthesiol Rep. 2021;11(4):396\u2013404. https:\/\/doi.org\/10.1007\/s40140-021-00500-2.","journal-title":"Curr Anesthesiol Rep"},{"issue":"4","key":"627_CR7","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1108\/17506121011095182","volume":"4","author":"M Hassan","year":"2010","unstructured":"Hassan M, Tuckman HP, Patrick RH, Kountz DS, Kohn JL. Hospital length of stay and probability of acquiring infection. Int J Pharm Healthc Mark. 2010;4(4):324\u201338. https:\/\/doi.org\/10.1108\/17506121011095182.","journal-title":"Int J Pharm Healthc Mark"},{"key":"627_CR8","unstructured":"Joo P, Guilbert L, Sep\u00falveda EM, Ort\u00edz CJ, Donatini G, Zerrweck C. Unexpected intraoperative findings and complications in bariatric surgery Post-operative complications. Obes Surg. 2017;27(1):783."},{"key":"627_CR9","doi-asserted-by":"publisher","unstructured":"Kebede ES, Abdalla S, Demeke B, Darmstadt GL. Factors in postoperative length of hospital stay among surgical patients in a rural Ethiopian hospital: an observational study. Pan Afr Med J. 2024;47. https:\/\/doi.org\/10.11604\/pamj.2024.47.212.36450.","DOI":"10.11604\/pamj.2024.47.212.36450"},{"key":"627_CR10","unstructured":"Mbembati NA, Melkizedeck K. Surgical diagnoses and post-operative outcomes of intestinal obstruction among adults at regional referral hospitals in Dar-es-Salaam, Tanzania : a prospective, observational hospital-based study Wambura Boniphace Corresponding author : Background : Objective : Methods & Findings Keywords. 2024."},{"key":"627_CR11","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-020-1469-4","author":"A McCann","year":"2020","unstructured":"McCann A, Sorensen J, Nally D, Kavanagh D, McNamara DA. Discharge outcomes among elderly patients undergoing emergency abdominal surgery: registry study of discharge data from Irish public hospitals. BMC Geriatr. 2020. https:\/\/doi.org\/10.1186\/s12877-020-1469-4.","journal-title":"BMC Geriatr"},{"key":"627_CR12","doi-asserted-by":"publisher","first-page":"1","DOI":"10.6061\/clinics\/2019\/e1074","volume":"74","author":"CAM Menegozzo","year":"2019","unstructured":"Menegozzo CAM, Teixeira-J\u00fanior F, Couto-Netto D, Martins-J\u00fanior SD, de Bernini O O., Utiyama EM. Outcomes of elderly patients undergoing emergency surgery for complicated colorectal cancer: A retrospective cohort study. Clinics. 2019;74:1\u20136. https:\/\/doi.org\/10.6061\/clinics\/2019\/e1074.","journal-title":"Clinics"},{"issue":"4","key":"627_CR13","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1016\/j.afjem.2023.08.005","volume":"13","author":"AUO Ogbuanya","year":"2023","unstructured":"Ogbuanya AUO, Ugwu NB, Enemuo VC, Nnadozie UU, Eni UE, Ewah RL, et al. Emergency laparotomy for peritonitis in the elderly: a multicentre observational study of outcomes in sub-Saharan Africa. Afr J Emerg Med. 2023;13(4):265\u201373. https:\/\/doi.org\/10.1016\/j.afjem.2023.08.005.","journal-title":"Afr J Emerg Med"},{"key":"627_CR14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2020\/1464098","volume":"2020","author":"A Ogwal","year":"2020","unstructured":"Ogwal A, Oyania F, Nkonge E, Makumbi T, Galukande M. Prevalence and predictors of cancellation of elective surgical procedures at a tertiary hospital in Uganda: a cross-sectional study. Surg Res Pract. 2020;2020:1\u20137. https:\/\/doi.org\/10.1155\/2020\/1464098.","journal-title":"Surg Res Pract"},{"key":"627_CR15","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-022-01883-7","author":"BC Onen","year":"2022","unstructured":"Onen BC, Semulimi AW, Bongomin F, Olum R, Kurigamba G, Mbiine R, et al. Surgical Apgar score as a predictor of outcomes in patients following laparotomy at Mulago National referral Hospital, Uganda: a prospective cohort study. BMC Surg. 2022. https:\/\/doi.org\/10.1186\/s12893-022-01883-7.","journal-title":"BMC Surg"},{"issue":"1","key":"627_CR16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.47176\/mjiri.35.5","volume":"35","author":"A Orooji","year":"2021","unstructured":"Orooji A, Nazar E, Sadeghi M, Moradi A, Jafari Z, Esmaily H. Factors associated with length of stay in hospital among the elderly patients using count regression models. Med J Islamic Repub Iran. 2021;35(1):1\u20135. https:\/\/doi.org\/10.47176\/mjiri.35.5.","journal-title":"Med J Islamic Repub Iran"},{"issue":"September","key":"627_CR17","doi-asserted-by":"publisher","first-page":"106465","DOI":"10.1016\/j.ijscr.2021.106465","volume":"87","author":"K Rajaguru","year":"2021","unstructured":"Rajaguru K, Sheong SC. Case report on a rare cause of small bowel perforation perforated ileal diverticulum. Int J Surg Case Rep. 2021;87(September):106465. https:\/\/doi.org\/10.1016\/j.ijscr.2021.106465.","journal-title":"Int J Surg Case Rep"},{"issue":"10","key":"627_CR18","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1258\/jrsm.99.10.501","volume":"99","author":"J Sagar","year":"2006","unstructured":"Sagar J, Kumar V, Shah DK. Meckel\u2019s diverticulum: a systematic review. J R Soc Med. 2006;99(10):501\u20135. https:\/\/doi.org\/10.1258\/jrsm.99.10.501.","journal-title":"J R Soc Med"},{"key":"627_CR19","doi-asserted-by":"publisher","unstructured":"Song X, Xia C, Li Q, Yao C, Yao Y, Chen D, Jiang Q. Perioperative predictors of prolonged length of hospital stay following total knee arthroplasty: a retrospective study from a single center in China. BMC Musculoskelet Disord. 2020;21(1):62. https:\/\/doi.org\/10.1186\/s12891-020-3042-x.","DOI":"10.1186\/s12891-020-3042-x"}],"container-title":["Perioperative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13741-025-00627-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13741-025-00627-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13741-025-00627-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T18:22:31Z","timestamp":1767032551000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s13741-025-00627-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,21]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["627"],"URL":"https:\/\/doi.org\/10.1186\/s13741-025-00627-4","relation":{},"ISSN":["2047-0525"],"issn-type":[{"type":"electronic","value":"2047-0525"}],"subject":[],"published":{"date-parts":[[2025,11,21]]},"assertion":[{"value":"20 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All methods were carried out in accordance with relevant guidelines and regulations. The study adhered to the Declaration of Helsinki. Ethical approval was granted by Kampala International University western campus Research Ethics Committee (KIU-2024 492). All participants gave written informed consent as evidenced by the participant\u2019s signature.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"141"}}