부산대학교 도서관

Identification of patients who will undergo futile surgery is complex, as some extreme-risk patients will ultimately survive and a smaller proportion will even be discharged home. Keywords: decision-making; laparotomy; peri-operative; risk EN decision-making laparotomy peri-operative risk 1431 1434 4 11/09/23 20231201 NES 231201 Whilst saying "yes" to more interventions for a high-risk patient who is unwell can be easy, drawing a line between benefit and harm for these interventions is not. This is because experienced clinicians still feel that some of these extreme-risk patients may benefit from surgery, and a small number of patients do indeed survive. A study by Chiu et al. examined the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database for patients undergoing laparotomies and identified 2% of patients as "extreme-risk", carrying a 30-day mortality rate of 71% [[14]]. [Extracted from the article]