Management of Acute Appendicitis at District General Hospital
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Negative Appendicectomy Rate
研究概览
简要总结
The Investigators aim to assess;
- whether the changes in managing patients during COVID has reduced the negative appendicectomy rate?
- compare the difference in outcomes of conservatively and surgically managed Acute Appendicitis?
- Whether there uniformity in prescribing postoperative antibiotics with resultant outcomes?
- Whether the incidence of complicated appendicitis has increased?
详细描述
As acute appendicitis is the most commonly managed emergency presentation for surgeons, the investigators aim to assess whether the changes in managing patients during COVID has reduced the negative appendicectomy rate, to compare the difference in outcomes of conservatively and surgically managed Acute Appendicitis? to assess whether there uniformity in prescribing postoperative antibiotics with resultant outcomes? to assess whether the incidence of complicated appendicitis has increased? This will be a single centre retrospective observational study. All the patients presenting in A&E department with a diagnosis of acute appendicitis to be included. the only exclusion criteria are the age of participants for less than 5 years. The data will be analysed and calculated using SPSS version 23.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All participants reporting in accident and emergency with a diagnosis of acute appendicitis irrespective of age above 5 years, gender and morbidities (this group for conservative management)
排除标准
- 未提供
结局指标
主要结局
Negative Appendicectomy Rate
时间窗: 8 months
Negative appendicectomy rate will be calculated to define the benefits of increasing the preoperative scanning in the form of ultrasound, CT scan or both.
Outcomes of Conservative vs Operative Management
时间窗: 8 months
The outcomes of both conservatively and operatively managed patients will be assessed to define the best management approach.
Increased Open Appendicectomy Rate
时间窗: 8 months
The rate of laparoscopic to open and open appendicectomy rate will be calculated to understand if the surgical practice has been changed during COVID-19 pandemic?
Surgical site infection in patients on antibiotics
时间窗: 8 months
The rate of incidence of superficial and deep wound infection will be calculated to define the applicability of use of Antibiotics
次要结局
- Length of Stay(8 months)
研究者
Naveed Kirmani
Principal Investigator
Princess Alexandra Hospital NHS Trust