Colorectal Resection in Emergency General Surgery - To Anastomose, or Not to Anastomose
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16
- 试验地点
- 1
- 主要终点
- Perioperative mortality and need for unplanned procedural intervention
研究概览
简要总结
Primary anastomosis is associated with higher rates of perioperative morbidity/mortality and that fecal diversion improves overall mortality, decreases length of stay, and lowers rates of surgical complications requiring unplanned operative intervention.
详细描述
This is a prospective observational study. All patients undergoing colon resection in the urgent/emergent setting meeting our inclusion/exclusion criteria will be enrolled in the study. Data will be collected prospectively and the decision to perform proximal diversion or anastomosis is solely the responsibility of the managing acute care surgeon. No guidelines or protocols will be suggested so as to avoid any influence on practitioner decision-making. The plan is to complete the data collection and analysis by 03/01/2020
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients undergoing urgent/emergent colon resection (less than 24 hours after decision to operate) by an acute care surgeon
排除标准
- •Elective operations performed by acute care surgeons within 24-hours of the decision to operate (e.g., scheduled resection of non-obstructed, non-perforated malignancy)
- •Prisoners
- •Pregnancy
- •Wards of the state
- •Patients less than 18-years of age
- •Traumatic mechanisms of injury
- •Death within 24-hours of index operation
结局指标
主要结局
Perioperative mortality and need for unplanned procedural intervention
时间窗: 1 days to 12 months
Perioperative mortality and need for unplanned procedural intervention (intervention by a surgeon, radiologist, or interventional radiologist).
次要结局
未报告次要终点