Validation of Emergency Surgery Score (ESS) as outcome prediction score in Egyptian patients undergoing emergency laparotomy
Dublin Core
Title
Validation of Emergency Surgery Score (ESS) as outcome prediction score in Egyptian patients undergoing emergency laparotomy
Subject
The emergency surgery score, Emergency laparotomy complications, Postoperative mortality rate
Description
Abstract
Background Emergency laparotomy is an exploratory procedure for many surgical situations. Proper prognostic
prediction helps recognize high-risk patients who benefit from further therapy. The Emergency Surgery Score
(ESS) was developed as a preoperative risk evaluation assessment that predicts patient outcomes after emergency
laparotomy.
Objective This study is to validate the ESS in Egyptian patients by evaluating its predictive ability for 30-day mortality,
surgical complications, and ICU admission rates.
Methods This prospective observational cohort study was performed out from May 2022 to November 2023
at two tertiary centers in Egypt. Patients aged 18 and above undergoing emergency laparotomy were included,
whereas pregnant women and individuals with vascular or gynecological indications were eliminated. Preoperative,
intraoperative, and postoperative data were thoroughly collected, and ESS was calculated for all patients. The primary
desired outcome was 30-day death, while secondary outcomes included surgical complications and ICU admission.
Standard definitions from the American College of Surgeons National Surgical Quality Improvement Program (ACS-
NSQIP) were used.
Results This study included a diverse cohort, with a mean age of the patients 48.66±19.37 years. The 30-day totally
mortality rate was 28%. The most common complication was pneumonia (60%), followed by sepsis and acute kidney
injury. Higher ESS scores were significantly associated with increased mortality and complication rates, confirming its
predictive validity.
Conclusion ESS effectively categorized Egyptian patients who more reliable to complications of emergency
laparotomy. Its use may improve clinical decision-making, optimize resource allocation, and facilitate patient and
family counseling. Further research is recommended to refine its applicability across different populations.
Trial registration NCT05639920 registration date on (26/10/2021).
Keywords The emergency surgery score, Emergency laparotomy complications, Postoperative mortality rate
Background Emergency laparotomy is an exploratory procedure for many surgical situations. Proper prognostic
prediction helps recognize high-risk patients who benefit from further therapy. The Emergency Surgery Score
(ESS) was developed as a preoperative risk evaluation assessment that predicts patient outcomes after emergency
laparotomy.
Objective This study is to validate the ESS in Egyptian patients by evaluating its predictive ability for 30-day mortality,
surgical complications, and ICU admission rates.
Methods This prospective observational cohort study was performed out from May 2022 to November 2023
at two tertiary centers in Egypt. Patients aged 18 and above undergoing emergency laparotomy were included,
whereas pregnant women and individuals with vascular or gynecological indications were eliminated. Preoperative,
intraoperative, and postoperative data were thoroughly collected, and ESS was calculated for all patients. The primary
desired outcome was 30-day death, while secondary outcomes included surgical complications and ICU admission.
Standard definitions from the American College of Surgeons National Surgical Quality Improvement Program (ACS-
NSQIP) were used.
Results This study included a diverse cohort, with a mean age of the patients 48.66±19.37 years. The 30-day totally
mortality rate was 28%. The most common complication was pneumonia (60%), followed by sepsis and acute kidney
injury. Higher ESS scores were significantly associated with increased mortality and complication rates, confirming its
predictive validity.
Conclusion ESS effectively categorized Egyptian patients who more reliable to complications of emergency
laparotomy. Its use may improve clinical decision-making, optimize resource allocation, and facilitate patient and
family counseling. Further research is recommended to refine its applicability across different populations.
Trial registration NCT05639920 registration date on (26/10/2021).
Keywords The emergency surgery score, Emergency laparotomy complications, Postoperative mortality rate
Creator
Mina Montasser1*, Doaa Ahmed Mohamed Ellisy2
, Jehan Ahmed Sayed3
and Momen Mostafa Makkey3*
, Jehan Ahmed Sayed3
and Momen Mostafa Makkey3*
Date
2025
Contributor
Peri Irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Mina Montasser1*, Doaa Ahmed Mohamed Ellisy2
, Jehan Ahmed Sayed3
and Momen Mostafa Makkey3*, “Validation of Emergency Surgery Score (ESS) as outcome prediction score in Egyptian patients undergoing emergency laparotomy,” Repository Horizon University Indonesia, accessed April 16, 2026, https://repository.horizon.ac.id/items/show/13232.