临床试验/NCT07022665

NCT07022665已完成不适用

Influence of Hospital Volume on Mortality and Short-term Postoperative Outcomes in Uncomplex General Surgery in Switzerland: A Retrospective National Registry Study

Cantonal Hospital of St. Gallen1 个研究点分布在 1 个国家目标入组 399,701 人开始时间: 2013年1月1日最近更新: 2025年6月15日

适应症

试验速览

阶段: 不适用
状态: 已完成
发起方: Cantonal Hospital of St. Gallen
入组人数: 399,701
试验地点: 1
主要终点: Mortality

研究概览研究设计入排标准结局指标研究者研究点记录与标识符相似试验

研究概览

简要总结

The effect of centralisation measures on the operative outcomes after any type of surgery in Switzerland has not been highlighted yet. This study aims to investigate the influence of the annual case-specific hospital volume on uncomplex general surgery. The four operations investigated are appendectomy, cholecystectomy, umbilical hernia repair, and inguinal/femoral hernia repair.

研究设计

研究类型: Observational
观察模型: Cohort
时间视角: Prospective

入排标准

年龄范围: 20 Years 至 —（Adult, Older Adult）
性别: All
接受健康志愿者: 否

入选标准

•All patients with appendicectomy for appendicitis, cholecystectomy for cholecystolithiasis and/or cholecystitis , umbilical hernia repair, or inguinal and/or femoral hernia repair

排除标准

•incomplete case documentation
•age under 20 years
•other hospitals than general or surgical hospitals
•no index operation

结局指标

主要结局

Mortality

时间窗: Periprocedural

The association between the hospital volume and the postoperative mortality Mortality Yes or No Hospital volume as marginal effect Association with GAM logistic regression

次要结局

Reoperation(Periprocedural)
Length of hospital stay(Periprocedural)
Sociodemographic trends(2013 - 2022)

研究者

发起方

Cantonal Hospital of St. Gallen

申办方类型

Other

责任方

Principal Investigator

主要研究者

Yanic Ammann

Principal Investigator

Cantonal Hospital of St. Gallen

研究点 (1)

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