Clinical Outcomes of Non-Indicated Staged Laparotomies in Abdominal Trauma

Launched by FAR EASTERN MEMORIAL HOSPITAL · Aug 5, 2025

Keywords

ClinConnect Summary

This study is looking at patients who had surgery for serious injuries to their abdomen to better understand when and why doctors perform multiple planned surgeries, called staged operations, even if the usual medical reasons for doing this aren’t clearly met. The researchers want to find out how often these extra surgeries happen without clear need, what the patients’ health looks like in these cases, and what might cause delays in doing a second surgery if only one was planned at first. To do this, they will review past medical records of patients treated at Far Eastern Memorial Hospital between 2013 and 2024.

Patients included in this study are those who had abdominal injuries and underwent an initial surgery to explore and treat these injuries. People who had very severe injuries in other parts of their body, experienced a heart stoppage before or shortly after arriving at the hospital, or who died within a day after surgery will not be part of the study. Since this is a review of past cases, participants won’t be contacted or asked to do anything new. The goal is to learn more about current surgical practices and patient outcomes to help improve care for people with abdominal injuries in the future.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • This study included patients with abdominal trauma who were admitted to Far Eastern Memorial Hospital and received exploratory laparotomy between January 1, 2013, and December 31, 2024.
• Exclusion Criteria:
• • Patients who experienced cardiac arrest prior to hospital arrival (OHCA) or in-hospital cardiac arrest (IHCA).
• • Patients with an Abbreviated Injury Scale (AIS) score ≥ 4 in any body region other than the abdomen.
• • Patients who died within 24 hours after the most recent surgical procedure.