Risk Factors of Adverse Outcomes After Emergency Abdominal Emergency Surgery and Establishment of a Risk Stratification Tool
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 1,000
- 试验地点
- 1
- 主要终点
- in-hospital mortality
研究概览
简要总结
The goal of this retrospective observational study is to identify risk factors of unwanted outcomes (in-hospital morbidity and mortality) among patients undergoing emergency abdominal surgery.
详细描述
Patients undergoing emergency abdominal surgery at a single tertiary care institution with a high volume of emergency abdominal surgeries, especially for high-acuity patients, between January 1, 2023, and June 1, 2024, will be included. Baseline demographics, indication for surgery, and preoperative status (respiratory support, cardiovascular stability, Glasgow score, SOFA score, preoperative lab results, and preoperative waiting time including Time to Theatre (TTT) and Time to Knife (TTK)) will be recorded.
Definitions:
Time to Theatre (TTT): The duration from when it is determined that the patient needs surgery to the time the patient arrives at the operating theatre.
Time to Knife (TTK): The duration from when the patient enters the operating theatre to the time the first incision is made.
These data will be retrieved from the electronic health record system.
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
- 否
入选标准
- •Patients undergoing emergency abdominal surgery at a single tertiary care institution between January 1, 2023, and June 1, 2024
排除标准
- •Repeated surgery for the same patients
结局指标
主要结局
in-hospital mortality
时间窗: From date of surgery until discharge day, assessed up to 4 weeks
documented in-hospital mortality
in-hospital morbidity
时间窗: From date of surgery until discharge day, assessed up to 4 weeks
in-hospital postoperative complications classified using Clavein-Dindo score
次要结局
- postoperative length of hospital stay(From date of surgery until discharge day, assessed up to 4 weeks)
- Health care costs(From date of admission until discharge day, assessed up to 4 weeks)