Enhanced Peri-Operative Care for High-risk patients (EPOCH) Trial: A stepped wedge cluster randomised trial of a quality improvement intervention for patients undergoing emergency laparotomy

Queen Mary University of London (UK)0 个研究点目标入组 16,000 人2014年3月7日

概览

2018 Results article in https://www.ncbi.nlm.nih.gov/pubmed/30424818 results (added 23/04/2019) 2019 Results article in https://www.ncbi.nlm.nih.gov/pubmed/31030986 results (added 30/04/2019)

注册库

who.int

开始日期

2014年3月7日

结束日期

2017年4月30日

最后更新

2年前

研究类型

Interventional

性别

All

发起方

Queen Mary University of London (UK)

•Patients \- All patients aged 40 years and over undergoing non\-elective open abdominal surgery in participating hospitals during an 85 week period will be eligible for inclusion in the data analysis. The patient inclusion criteria are identical to those of the Healthcare Quality Improvement Partnership National Emergency Laparotomy Audit (HQIP\-NELA) and the core EPOCH dataset will only include patient level data gathered by the audit. Hospital sites and clusters \- Participating hospitals must undertake a significant volume of emergency laparotomies, participate in the National Emergency Laparotomy Audit, nominate specialty leads from surgery, anaesthesia and critical care, and secure the support from their NHS Trust Board to participate in the EPOCH study. Hospitals which already use an integrated care pathway to maintain standards of care for this patient group will be excluded. Clusters will be organised geographically with specific attention to the rotation of clinical staff and patient referral patterns between hospitals to minimise contamination of pre\-intervention hospitals.