Fast Track Surgery for Abdominal Surgery in Rwanda

Not Applicable

Completed

• Conditions: Elective Surgical Procedures
• Interventions: Other: Conventional management; Other: Fast track surgery

• Registration Number: NCT03067519
• Lead Sponsor: University of Rwanda

Brief Summary

Fast Track Surgery (FTS) was started in colorectal surgery, but was later applied to other surgical fields. Core elements include epidural or regional anaesthesia, perioperative fluid management, minimally invasive surgical techniques, pain control, and early mobilization and feeding. Beneficial effects of FTS include reduced costs, early hospital discharge, and increased availability of hospital beds.The main aim of this study was to explore the efficacy of FTS in the Rwandan surgical setting and to demonstrate the benefits of FTS.

it is study comparing the management of surgical patients using traditional management and fast track surgery. the study was done on patients undergoing elective abdominal surgery only

Detailed Description

Fast track surgery (FTS) uses a multifaceted approach to reduce the stress response to surgery, thereby improving outcomes and decreasing length of hospital stay. The core elements of FTS include: epidural or regional anesthesia, peri-operative fluid management, minimally invasive techniques, optimal pain control, early initiation of oral feeding and early mobilization. The combination of these approaches has led to a significant reduction in complication rates, morbidity and mortality rates, duration of hospital stay and costs of hospitalization, and greatly improved postoperative recovery The main aim of this study was to explore the efficacy of FTS in the Rwandan surgical setting and to demonstrate the benefits of FTS.

This randomized control trial was conducted in CHUK over a period of three months (October - December, 2015). For patients in the FTS arm, the study investigator would assess patients on a daily basis and work with the primary surgical team. The study investigator would prompt the primary surgical team for early feeding, mobilization, pain control and fluid management recommendations.

Data were collected on variables including postoperative analgesia, mobilisation, resuming oral feeding, hospital stay and complications. The primary outcome was duration of postoperative hospital stay and secondary outcome was major complications.

Study Timeline

• Study Start: 2015-10
• Primary Completion: 2015-12-31
• Study Completion: 2016-01-31
• Study First Submitted: 2017-02-21
• Study First Submitted QC: 2017-02-24
• Status Verified: 2017-03
• Study First Posted: 2017-03-01
• Last Update Submitted: 2017-03-01
• Last Update Posted: 2017-03-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 62

Inclusion Criteria

• patients admitted for elective abdominal surgery

Exclusion Criteria

• patients with comorbidity, American Society of Anesthesiologists score greater than 2

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Conventional management	Conventional management	usual postoperative care per surgeon
Fast track surgery	Fast track surgery	Intervention: Fast track surgery patients underwent early feeding and mobilization after surgery

Primary Outcome Measures

Name	Time	Method
hospital stay	within 30 days	numbers of days spent in hospital

Secondary Outcome Measures

Name	Time	Method
Major complications	within 30 days	Major complications were defined as: in-hospital death, intra-abdominal abscess, anastomotic leak, surgical site infection, pneumonia, urinary tract infection, and venous thromboembolism.

Trial Locations

Locations (1)

university teaching hospital Kigali; 🇷🇼 Kigali City, Rwanda