Influence of social deprivation on post-operative survival after emergency laparotomy

Harten, J., McCreath, B., McMillan, D. , McArdle, C. and Kinsella, J. (2001) Influence of social deprivation on post-operative survival after emergency laparotomy. ASA Annual Meeting Abstracts, A1113.

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Abstract

<p>Introduction: The objective of this study was to assess the influence of social deprivation and other factors on post-operative outcome of patients after undergoing emergency laparotomy.</p> <p>Methods: This retrospective cohort study analyzed six hundred and thirty-three consecutive patients greater than 50 years of age undergoing emergency laparotomy at the Western Infirmary Glasgow and Glasgow Royal Infirmary between July 1998 and July 2000. Patients presenting for vascular surgery or following trauma were excluded. Age, sex, surgeon grade, anesthetist grade, 30-day all cause mortality and postcodes were recorded. The postcodes were used to derive Carstairs socioeconomic deprivation categories. These range from 1 to 7 and are based on the most recent census data on car ownership, unemployment, overcrowding, and social class within postcodes. Category 1 denotes the least deprived areas and 7 the most deprived. Where appropriate statistical comparisons were carried out using logistical regression analysis and Chi-square test.</p> <p>Results: The data were 97% complete. Age (RR 1.029 95%CI 1.011- 1.048, p=0.002) and grade of anesthetist (RR 0.644 95%CI 0.503- 0.877, p=0.004) were significant independent predictors of 30-day mortality. Conclusion: 30-day mortality in this patient group was approximately 24%. Mortality was associated with increasing age and was inversely associated with grade of anesthetist. The degree of social deprivation appeared to influence the age at which patients presented for emergency laparotomy. In contrast social deprivation did not influence post-operative outcome following emergency laparotomy.</p>

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Harten, Dr Johann and Kinsella, Professor John and McMillan, Professor Donald and McCreath, Dr Brian
Authors: Harten, J., McCreath, B., McMillan, D., McArdle, C., and Kinsella, J.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:ASA Annual Meeting Abstracts
Publisher:American Society of Anesthesiologists
ISSN:1548-2553
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