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Prediction of Abdominal Complications After GastroEnterological Surgery

Conditions
Anastomotic Leak
Complication
Gastrointestinal Cancer
Registration Number
NCT03828266
Lead Sponsor
Peking University
Brief Summary

The aim of this multi-centered study is to understand the epidemiology of infectious complications after gastrointestinal surgery in China. In total, 17 centers from China will prospectively register their patients undergo gastric or colorectal surgeries. Patient demographic data, operation information, and postoperative data including the infectious complications and the outcomes will be registered. We expect to include 2000 gastric and 2000 colorectal patients within one year and the study is expected to be finished in 2020.

Detailed Description

All participating hospital will log in on a website based e-CRF system. Researchers need to register the patient information that three time-points: admission, after surgery, after discharge.

The detailed registered information includes:

I. Basic and surgical information:

Age, height, weight, history of abdominal surgery, ASA score, surgical procedure, extent of lymph node dissection, extent of resection, time of surgery, amount of bleeding, whether it is emergency surgery, whether it is combined with organ resection, whether it is palliative resection, whether combined with preoperative treatment, whether combined with preoperative infection and intraoperative complications.

II. Postoperative information:

Primary lesion histological type, margin, pathological stage (pTNM); other complications, postoperative death and discharge time, CRP, PCT, WBC levels.

III. Abdominal Infection information:

Abdominal infection (Y/N), anastomotic leakage (Y/N), intervention, outcome.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
4000
Inclusion Criteria
  • Planned gastrointestinal surgery.
  • Inform consent received.
Exclusion Criteria
  • Endoscopic surgery.
  • Inform consent denied.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Abdominal Infection rate after gastrectomy.From surgery until discharge, up to 90 days.

Abdominal Infection includes anastomotic leakage and other intra-abdominal infectious complications.

Abdominal Infection rate after colorectal surgery.From surgery until discharge, up to 90 days.

Abdominal Infection includes anastomotic leakage and other intra-abdominal infectious complications.

Secondary Outcome Measures
NameTimeMethod
Classification of Abdominal Infection after SurgeryFrom surgery until discharge, up to 90 days.

Severity classification scored based on Clavien-Dindo score, it includes five different scales indicating different severity of the complication.

Diagnosis time of Abdominal ComplicationFrom surgery until discharge, up to 90 days.

1-3 days after surgery; 4-7 days after surgery; \>1wk after surgery

Outcome of Abdominal Infection TreatmentFrom surgery until discharge, up to 90 days.

Cured before discharge, not cured before discharge, death.

Trial Locations

Locations (19)

South Hospital

🇨🇳

Guanzhou, Guangdong, China

Dalian Medical University First Hospital

🇨🇳

Dalian, Liaoning, China

Qinghai University Affiliated Hospital

🇨🇳

Xining, Qinghai, China

Shandong Provincial Hospital

🇨🇳

Jinan, Shandong, China

Qingdao University Affiliated Hospital

🇨🇳

Qingdao, Shandong, China

Xi'an Jiao Tong University First Hospital

🇨🇳

Xi'an, Shanxi, China

Hangzhou First Hospital

🇨🇳

Hangzhou, Zhejiang, China

Fujian Medical University Union Hospital

🇨🇳

Fuzhou, Fujian, China

Jilin University Second Hospital

🇨🇳

Changchun, Jilin, China

Nanchang University First Hospital

🇨🇳

Nanchang, Jiangxi, China

Zhongshan Hospital

🇨🇳

Shanghai, Shanghai, China

Xiamen University First Hospital

🇨🇳

Xiamen, Fujian, China

The First Affilliated Hospital, Sun Yat-sen University

🇨🇳

Guangzhou, Guangdong, China

Peking University Cancer Hospital

🇨🇳

Beijing, Beijing, China

Guangdong People's Hospital

🇨🇳

Guangzhou, Guangdong, China

Fudan University Cancer Hospital

🇨🇳

Shanghai, Shanghai, China

Huashan Hospital

🇨🇳

Shanghai, Shanghai, China

Ruijin Hospital

🇨🇳

Shanghai, Shanghai, China

Run Run Shaw Hospital

🇨🇳

Hangzhou, Zhejiang, China

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