Comparison of the prognostic significance of initial lactate and initial base deficit in predicting 30 day mortality following emergency open abdominal surgery

Not Applicable

Conditions: Health Condition 1: R798- Other specified abnormal findingsof blood chemistry

Registration Number: CTRI/2019/01/016909

Lead Sponsor: Jubilee Mission Medical College

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: ot Yet Recruiting

Sex: Not specified

Target Recruitment: 0

Inclusion Criteria

Study enrolls patients aged 18 years and above treated in Jubilee Mission Medical College Thrissur who undergo emergency laparotomy with the following conditions

procedures involving stomach, small or large bowel or rectum

washout of intra peritoneal abscess or hematoma

return to theatre for repair of burst abdomen

bowel resection or repair due to incarcerated / obstructing hernia

any reoperation for complications of elective gastrointestinal surgeries involving the above criteria

patients who undergo emergency abdominal surgery for trauma

Exclusion Criteria

aged below 18 years and those who undergo elective laparotomy

diagnostic laparotomy where no subsequent procedure is performed

appendicectomy and cholecystectomy with or without drainage of localized collection

caesarean section,obstertic and gynecological laparotomy

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Initial lactate and Initial base deficit will be measured and 30 day mortality of the study group will be recorded.A comparison is made between the two biological variables in determining the prognostic significance of each in predicting 30 day mortality.Timepoint: 18 months

Secondary Outcome Measures

Name	Time	Method
A comparison is made between our institutional emergency laparotomy 30 day mortality with National Emergency Laparotomy data points.Timepoint: 18 months;Correlation between type of anaesthesia and timeliness of surgery with mortality and length of hospital stay will be evaluated.Timepoint: 18 months