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临床试验/NCT06048575
NCT06048575已完成不适用

Characteristics of the Attention Provided to Patients With Cholecystitis in Villavicencio Hospitals, Colombia: A Retrospective Cross-sectional Trial.

Hospital Departamental de Villavicencio1 个研究点 分布在 1 个国家目标入组 609 人开始时间: 2025年8月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
609
试验地点
1
主要终点
Mortality

研究概览

简要总结

Background: Acute cholecystitis is a frequent cause of visits to the emergency ward. The complications of delays in attention and surgical therapy are substantial and should be considered to prevent them timely.

Objective: The study aims to evaluate the assistance provided to patients for cholecystitis in Villavicencio hospitals.

Methodology: A retrospective cross-sectional trial will be performed. The source of information will be the surgical database of hospitals at Villavicencio from 2019 to 2022. The records selected will be exported to an Excel spreadsheet for debugging and analysis. The central distribution and dispersion of numerical variables will be analyzed, as frequency and proportion of categorical variables with the software Prism 10.01.1 for Mac iOS. Chi-square and U-Mann & Whitney tests will compare variables according to the data type. A p<0.05 will be defined as statistically significant.

Expected results: the researchers hope to define the frequency of hospital discharges due to acute cholecystitis, the type of procedure performed, complications, and outcomes.

Conclusions: The research is feasible because the necessary information is available for evaluation, and it is helpful for the institutions and the region.

详细描述

Biliary diseases are some leading causes of admission to emergency wards. Cholelithiasis and acute cholecystitis are prevalent in the Orinoquia region. Young and female populations are predominantly affected. Complications are prone to delayed definitive surgical therapy, which increases costs and the use of resources. Guidelines recommend early surgery during hospitalization for the first episode to minimize difficulties. There are limitations in the available technology recommended for treatment, especially in institutions dedicated to vulnerable populations. Laparoscopic cholecystectomy is the primary goal in cases required for gall bladder removal. Although the technology and trained personnel are available in local institutions, open procedures are still performed primarily, and restrictions are due to insurance coverage after more than 30 years of disseminating laparoscopic cholecystectomy worldwide.

It is necessary to know the prevalence of the disease and the therapy provided in general hospitals from the region to analyze associated factors with undesired results.

Determining the characteristics of patients admitted to hospitals by biliary pathology will provide essential information on the severity, care provided, definitive treatment, opportunity, and outcomes. Such an analysis will give knowledge to prioritize policies and resources, upgrade clinical practice guidelines, and improve early and long-term results.

研究设计

研究类型
Observational
观察模型
Other
时间视角
Retrospective

入排标准

年龄范围
16 Years 至 120 Years(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients admitted with acute or chronic biliary pathology.

排除标准

  • 未提供

研究组 & 干预措施

Number of patients with early therapy

Patients with early surgery (<72 hours of admission).

干预措施: Cholecystectomy (Procedure)

Number of patients with subacute therapy

Patients with surgery for three days or more.

干预措施: Cholecystectomy (Procedure)

Number of patients with late therapy

Patients with surgery beyond ten days.

干预措施: Cholecystectomy (Procedure)

Number of patients with no therapy

Patients discharged with no surgical therapy.

干预措施: Cholecystectomy (Procedure)

结局指标

主要结局

Mortality

时间窗: 28 days

Number of patients deceased due to the biliary disease, complications, or other conditions.

次要结局

  • Need of ICU(28 days)
  • ICU length of stay(28 days)
  • Need of mechanical ventilation(28 days)
  • Surgical site infection(28 days)
  • Hospital length of stay(28 days)
  • Complicated presentation(28 days)
  • Surgical complications(28 days)

研究者

发起方
Hospital Departamental de Villavicencio
申办方类型
Other
责任方
Principal Investigator
主要研究者

Norton Perez-Gutierrez, MD

Principal investigator

Hospital Departamental de Villavicencio

研究点 (1)

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