Implementation of an Epidemiological and Clinical Registry of Emergency Surgery Patients in a Costa Rican Hospital

Completed

• Conditions: Surgical Complication; Emergencies

• Registration Number: NCT05930574
• Lead Sponsor: Caja Costarricense de Seguro Social

Brief Summary

A retrospective cross-sectional study was conducted in a quaternary level university hospital of the Costa Rican public health system. The study included all patients aged 12 years and older who required emergency surgery by the hospital's emergency surgery and trauma service, admitted through the hospital's emergency service.

Detailed Description

This research consists in a retrospective cross-sectional study carried out in a quarterly level university hospital of care of the Costa Rican public health system (high complexity). The study included all patients aged 12 years or older who required emergency surgery for the hospital's emergency surgery and trauma service, admitted to this center between 2020 and 2022. Only those patients who required emergency surgery by another surgical specialty during this period were excluded from the register. A non-probabilistic convenience sampling was performed, based on the pre-established selection criteria and determined by the number of patients treated in the shock room of the hospital, that subsequently received general emergency or trauma surgery in the period under study. Sociodemographic variables, hemodynamic status, period of hospitalization, related to the procedure performed and the underlying comorbidities, as well as the clinical outcome, were included in the study database.

Study Timeline

• Study Start: 2020-05-01
• Primary Completion: 2020-11-30
• Study Completion: 2022-12-31
• Status Verified: 2023-06
• Study First Submitted: 2023-06-24
• Study First Submitted QC: 2023-06-30
• Last Update Submitted: 2023-06-30
• Study First Posted: 2023-07-05
• Last Update Posted: 2023-07-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 575

Inclusion Criteria

• The study included all patients aged 12 years and older who required emergency surgery by the hospital's emergency surgery and trauma service, admitted through the hospital's emergency service.

Exclusion Criteria

• . Only those patients who required emergency surgery by another surgical specialty during this period were excluded from the register.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Mechanical ventilation	retrospective study (2020-2022)	Days of mechanical ventilation needed
Mortality	retrospective study (2020-2022)	Mortality rate after the surgical procedure during hospitalization
Infections	retrospective study (2020-2022)	Infection rate after the surgical procedure during hospitalization
Requirement of Intensive Care Unit	retrospective study (2020-2022)	Days of permanence in Intensive Care Unit

Trial Locations

Locations (1)

Unidad de Investigación en Salud, Hospital Dr. Rafael Angel Calderón Guardia; 🇨🇷 San José, Costa Rica