669 Chronological Distribution and Causes of Mortality Following Emergency Laparotomy – an 8 Year Study

Abstract Introduction Emergency laparotomies have variable level of mortality and morbidity worldwide. Studying the causes times mortality, could enable better patient care improve future outcomes. We investigated data in laparotomy patients, to investigate for trends other process characteristics. Method Data all emergency undertaken between 2014 2022 were collected prospectively retrospectively analysed. The primary outcome was inpatient mortality. Demographics, clinical management, analysed using SPSS. Results 1410 performed, with an overall crude rate 11.9%. P-POSSUM scores ranged from 2-99 (mean 42.4) 40.1-100 86.6) respectively. time operation death 24 hours 123 days = day 11.75), a uni-modal distribution. In first 48 post-operatively 28.57% (N 56 patients) died, mean age 70.6 48.1 (SD 30.6). Bowel perforation 19 bowel ischaemia 13 where most common intra-operative finding. patients that died after 116 had 73.5 12.4) 39.6 29.9, P 0.92), compared those survived 1241) 61.4 16.4) 15.6 (P>0.01). Conclusions has high morbidity, carrying highest risk, particularly or ischaemia.