Characteristics of the Attention Provided to Patients With Cholecystitis in Villavicencio Hospitals, Colombia: A Retrospective Cross-sectional Trial.
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
- 否
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
Norton Perez-Gutierrez, MD
Principal investigator
Hospital Departamental de Villavicencio
