Fourth Patient Report of the National Emergency Laparotomy Audit (NELA) December 2016 to November 2017

Royal College of Anaesthetists
Royal College of Anaesthetists (RCoA)
Publication date:
08 November 2018


This new study from the Royal College of Anaesthetists around improvements in the care of patients before, during and after emergency bowel surgery shows enhanced patient care has led to the national 30-day mortality rate falling from 11.8% to 9.5% over the last four years. This represents approximately 700 patients’ lives saved this year compared to 2013.

Known as an emergency laparotomy, this surgery is one of the highest risk operations a patient can undergo, with nearly 24,000 people needing this urgent life saving operation each year. The report also found that patients’ average hospital stay has reduced from19.2 days in 2013 to 15.6 days in 2017, saving the NHS an estimated £34 million annually.