Outcomes After Laparotomy for Penetrating Abdominal Trauma

Completed

Brief Summary: The purpose of this study is to evaluate outcomes of adult patients hospitalised due to penetrating abdominal trauma at a tertiary trauma hospital in South Africa. Our primary objective is to study the association between waiting time to surgery and outcome (mortality, complications, and length of hospital stay) in normotensive patients treated with laparotomy for penetrating abdominal trauma.

Recruitment & Eligibility

Inclusion Criteria

Patients that are admitted due to penetrating abdominal injuries, irrespective of injury mechanism, time from injury and prior treatment.
Patients that are treated with laparotomy.

Exclusion Criteria

Patients that are admitted due to blunt trauma or combinations of blunt and penetrating trauma.
Patients who are dead on arrival.
Patients that are only re-admitted during the study period, i.e. patients that received primary treatment by TBH before study initiation.

Arm && Interventions

Group	Intervention	Description
Time to surgery ≤12 hours	Laparotomy	Waiting time to surgery ≤12 hours from hospital presentation.
Time to surgery >12 hours	Laparotomy	Waiting time to surgery \>12 hours from hospital presentation.

Primary Outcome Measures

Name	Time	Method
Death	Through study completion, an average of 2 weeks	In-hospital death.

Secondary Outcome Measures

Name	Time	Method
Complications	Through study completion, an average of 2 weeks	Complications according to the Clavien-Dindo classification.
Length of stay	Through study completion, an average of 2 weeks	Length of hospital stay.

Locations (1): Tygerberg Academic Hospital
🇿🇦
Cape Town, Western Cape Province, South Africa

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