Clinical Characteristics and Risk Factors for In-Hospital Mortality in Surgical Patients With Abdominal Sepsis

Completed

• Conditions: Sepsis; Glucocorticoid

• Registration Number: NCT06756750
• Lead Sponsor: Chinese PLA General Hospital

Brief Summary

A retrospective study of sepsis patients with abdominal infections who underwent abdominal surgery was conducted in an attempt to reveal the epidemiological characteristics of sepsis after abdominal surgery, risk factors, and to analyze the prognosis of the patients, to reveal indicators of predictive value for the prognosis of patients with sepsis, with a view to providing certain evidence for optimizing the perianesthesia management of patients with sepsis.

Detailed Description

Background and Aims: Abdominal sepsis refers to a severe and potentially life-threatening condition characterized by the presence of infection, inflammation, and tissue damage within the abdominal cavity. Glucocorticoids (GCs) play an important role in regulation of the host immune and inflammation responses involved in sepsis and surgery. This study aimed to investigate the potential impact of intraoperative GCs administration on the clinical outcome of surgical patients with abdominal sepsis.

Methods: This retrospective cohort study included a 1:1 propensity score-matched cohort of surgical patients afflicted with abdominal sepsis at 2 medical centers from January, 2008, through December, 2022. Patients were classified into low-GCs, high-GCs, and non-GCs groups according to the dosage of steroids used intraoperatively, and in-hospital mortality was designated as the primary outcome.

Study Timeline

• Study Start: 2023-11-01
• Primary Completion: 2023-12-01
• Study Completion: 2024-05-01
• Study First Submitted: 2024-12-27
• Study First Submitted QC: 2024-12-27
• Status Verified: 2025-03
• Study First Posted: 2025-03-25
• Last Update Submitted: 2025-03-25
• Last Update Posted: 2025-03-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 476

Inclusion Criteria

• Meeting the Sepsis 3.0 criteria ;
• Patient's age ≥ 18 years;
• Emergency or elective abdominal surgery.

Exclusion Criteria

• History of severe cardiopulmonary, hepatic, renal, or other organ damage;
• Preoperative presence of infection other than abdominal;
• Unplanned secondary surgery；
• Receiving preoperative glucocorticoid therapy.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
In-hospital mortality	January 2008 - December 2022

Trial Locations

Locations (1)

Depatment of Anesthesiology, The First Medical Center Affiliation: Chinese PLA General Hospital /Depatment of Anesthesiology, The Air Force Medical Center; 🇨🇳 Beijing, Beijing, China