Uncharted factors in emergency laparotomy outcomes: a call for holistic assessment

Abstract

The recent study by Thu et al. investigating the interplay between frailty, sarcopenia, and physical status in patients undergoing emergency laparotomy (EmLap) provides valuable insights into preoperative risk stratification. The authors’ efforts to disentangle these complex factors in predicting mortality are commendable, particularly their emphasis on frailty and poor physical status as independent prognostic markers. However, several underappreciated aspects of this relationship warrant further discussion to refine clinical applicability and guide future research (1).