Combined APACHE II and lactate levels predict post-op mortality in high-risk patients
For patients facing emergency laparotomy due to gastrointestinal perforation peritonitis, integrating serial APACHE II scores and serum lactate levels significantly enhances mortality prediction. The combination shows an impressive 85% sensitivity and 82% specificity for 30-day postoperative death, outperforming individual markers. With a mortality rate of 35%, timely identification of high-risk patients can transform clinical management and improve outcomes in this critical setting.
Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.
Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).
Appendix, Gallbladder and Surgical Emergencies3 Nov 2026
