Surgeons can now leverage a validated scoring system to predict 30-day mortality rates in emergency laparotomy patients, improving decision-making and resource allocation.

• The model included 12 preoperative factors: ASA grade, cardiovascular disease, serum creatinine, preoperative sepsis, and follow-up surgery.
• It achieved a cross-validated AUROC of 0.7922, indicating strong predictive capability.

This tool enhances risk stratification and is applicable even in resource-limited settings; external validation will confirm its utility in diverse surgical practices.