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Cholecystitis in Villavicencio Hospitals

Recruiting
Conditions
Biliary Tract Diseases
Registration Number
NCT06048575
Lead Sponsor
Hospital Departamental de Villavicencio
Brief Summary

Background: Acute cholecystitis is a frequent cause of visits to the emergency ward. The complications of delays in attention and surgical therapy are substantial and should be considered to prevent them timely.

Objective: The study aims to evaluate the assistance provided to patients for cholecystitis in Villavicencio hospitals.

Methodology: A retrospective cross-sectional trial will be performed. The source of information will be the surgical database of hospitals at Villavicencio from 2019 to 2022. The records selected will be exported to an Excel spreadsheet for debugging and analysis. The central distribution and dispersion of numerical variables will be analyzed, as frequency and proportion of categorical variables with the software Prism 10.01.1 for Mac iOS. Chi-square and U-Mann \& Whitney tests will compare variables according to the data type. A p\<0.05 will be defined as statistically significant.

Expected results: the researchers hope to define the frequency of hospital discharges due to acute cholecystitis, the type of procedure performed, complications, and outcomes.

Conclusions: The research is feasible because the necessary information is available for evaluation, and it is helpful for the institutions and the region.

Detailed Description

Biliary diseases are some leading causes of admission to emergency wards. Cholelithiasis and acute cholecystitis are prevalent in the Orinoquia region. Young and female populations are predominantly affected. Complications are prone to delayed definitive surgical therapy, which increases costs and the use of resources. Guidelines recommend early surgery during hospitalization for the first episode to minimize difficulties. There are limitations in the available technology recommended for treatment, especially in institutions dedicated to vulnerable populations. Laparoscopic cholecystectomy is the primary goal in cases required for gall bladder removal. Although the technology and trained personnel are available in local institutions, open procedures are still performed primarily, and restrictions are due to insurance coverage after more than 30 years of disseminating laparoscopic cholecystectomy worldwide.

It is necessary to know the prevalence of the disease and the therapy provided in general hospitals from the region to analyze associated factors with undesired results.

Determining the characteristics of patients admitted to hospitals by biliary pathology will provide essential information on the severity, care provided, definitive treatment, opportunity, and outcomes. Such an analysis will give knowledge to prioritize policies and resources, upgrade clinical practice guidelines, and improve early and long-term results.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
1500
Inclusion Criteria
  • Patients admitted with acute or chronic biliary pathology.
Exclusion Criteria
  • None.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Mortality28 days

Number of patients deceased due to the biliary disease, complications, or other conditions.

Secondary Outcome Measures
NameTimeMethod
Surgical site infection28 days

Number of patients with infections associated with the procedure (superficial, deep, organ/space)

Need of mechanical ventilation28 days

Number of patients needing mechanical ventilation

Hospital length of stay28 days

Number of days before discharge.

Need of ICU28 days

Patients admitted to ICU under any circumstance.

ICU length of stay28 days

Number of days hospitalized in ICU

Complicated presentation28 days

Number of patients with complications of the disease previous or during hospitalization, but not related to the surgical procedure

Surgical complications28 days

Number of patients with complications related to the surgical procedure

Trial Locations

Locations (2)

Clinica Primavera

🇨🇴

Villavicencio, Meta Department, Colombia

Hospital Departamental de Villavicencio

🇨🇴

Villavicencio, Meta Department, Colombia

Clinica Primavera
🇨🇴Villavicencio, Meta Department, Colombia
Norton Perez Gutierrez, MD
Principal Investigator
Emma I Rodriguez Darabos, MSc
Contact
(+57)‭6086660154‬
emmaisa1@hotmail.com
Miladys Gallego Granda, RN
Sub Investigator

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