TEXTBOOK OUTCOMES OF EMERGENCY CHOLECYSTECTOMIES IN ELDERLY PATIENTS

Completed

• Conditions: Acute Cholecystitis

• Registration Number: NCT06743217
• Lead Sponsor: Kanuni Sultan Suleyman Training and Research Hospital

Brief Summary

Textbook outcome is a measure used to assess the quality of surgical practice. The goal of this observational study is to compare textbook outcomes of elderly patients (≥65 years) in emergency cholecystectomies with younger patients(\<65 years ) via using aforementioned criteria

Detailed Description

Textbook outcome is a measure used to assess the quality of surgical practice and has been implemented in various areas of surgical literature. It is defined as an uneventful operative and postoperative period that leads to successful surgery without negative outcomes. There is still no consensus on the textbook outcome concept for emergency cholecystectomy. SPRIMACC Collaborative Study has presented and offered a list of textbook outcome criteria.

Their proposal was: no 30-day mortality, no 30-day postoperative complications (any CD≥I is considered non-TO), no readmission within 30 days, and hospital stay≤7 days (75th percentile) and full laparoscopic surgery.

The goal of this observational study is to compare textbook outcomes of elderly patients (≥65 years) in emergency cholecystectomies with younger patients(\<65 years ) via using aforementioned criteria

Study Timeline

• Study Start: 2024-09-01
• Primary Completion: 2024-09-15
• Study Completion: 2024-09-15
• Status Verified: 2024-12
• Study First Submitted: 2024-12-16
• Study First Submitted QC: 2024-12-18
• Last Update Submitted: 2024-12-18
• Study First Posted: 2024-12-19
• Last Update Posted: 2024-12-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 212

Inclusion Criteria

• All patients underwent emergency cholecystectomy with a diagnosis of acute choleystitis

Exclusion Criteria

• Patients underwent open surgery directly. Patients diagnosed as malignant postoperatively in the pathology report

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Textbook Outcome	30 days	The Textbook Outcome criteria for emergency cholecystectomy in this study were patients have these criteria: no 30-day mortality, no 30-day postoperative complications, no readmission within 30 days, hospital stay≤7 days and full laparoscopic surgery

Secondary Outcome Measures

Name	Time	Method
Subtotal cholecystectomy	1 day	Patients underwent emergency surgery with a diagnosis of acute cholecystitis and subtotal cholecystectoym performed
Postoperative Serious Complications	30 days	Postoperative complications that have a Clavien-Dindo Score ≥3 were accepted as serious complication.

Trial Locations

Locations (1)

University of Health Sciences, Kanuni Sultan Suleyman Training and Research Hospital, Department of General Surgery; 🇹🇷 Istanbul, Turkey