The hospital costs associated with postoperative complications following small bowel resection surgery

Not Applicable

Completed

• Conditions: Small bowel resection; Complications following small bowel resection; Inflammatory Bowel Disease; Small Bowel Cancer; Surgery - Surgical techniques; Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon; Oral and Gastrointestinal - Inflammatory bowel disease; Anaesthesiology - Anaesthetics; Cancer - Bowel - Small bowel (duodenum and ileum)

• Registration Number: ACTRN12620000322932
• Lead Sponsor: Department of Anaesthesia, Austin Health

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2020-01-28
• Study Start: 2020-03-09
• Last Update Posted: 16 March 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 395

Inclusion Criteria

Patients who undergo a small bowel resection for any indication at the Austin Hospital were considered. Small bowel resection will be defined as any procedure which involves partial or full removal of the small bowel. All surgical techniques will be considered. Any indication for a small bowel resection will be considered. Both emergent and elective would also be considered.

Exclusion Criteria

Patients undergoing small bowel resection that was minor and secondary to another concomitant major procedure were excluded.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Costs of complications as a composite outcome defined as cost of patients with complications less the cost of patients without complications (i.e. by comparison of patients with and without complications).<br><br>All costs related to the index admission for small bowel resections and any consequent readmissions are included. Costs related to preoperative course are not considered. Allocation of costs will be done based on service volume, and costs calculated using an activity-based costing methodology. Only in-hospital costs are considered, with both direct and indirect costs assessed to produce a total cost for each patient. Costs for each patient will be obtained from the Austin Health Department of Finance, which maintain an itemised prospective database of all hospital expenses related to each patient.[Costs will be calculated from day of surgery to hospital discharge. Readmissions are considered within 30 days of discharge from the index admission.]