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Comparison of duration of hospital stay between patients receiving care under standard care protocol and Enhanced recovery after surgery protocol.

Comparison of Adapted ERAS Pathway Versus Standard Care in Patients Undergoing Emergency Surgery for Perforation Peritonitis-a Pragmatic Randomized Controlled Trial - NIL

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2023/12/060932
Enrollment
164
Registered
2023-12-29
Start date
Unknown
Completion date
Unknown
Last updated
2024-01-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K631- Perforation of intestine (nontraumatic)

Interventions

Intervention1: Enhanced Recovery After Surgery group: Preoperative preparation. Placement of NG tube. Administration of crystalloids for fluid replace-ment. IV antibiotics. IV acid reducing therapy.

Sponsors

JIPMER
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1 All consecutive patients above 18 years of age with GI perfo-ration, who present to the emergency surgical team with generalized peritonitis, diag-nosed based on clinical exam-ination and adjunct investiga-tions and planned for emer-gency laparotomy after vol-ume resuscitation.

Exclusion criteria

Exclusion criteria: 1 Patients on ventilator or vaso-pressor support preoperatively 2 Polytrauma patients with ab-dominal injuries. 3 Patients presenting with perfo-ration peritonitis and associated with malignant perforation, gut gangrene etc.

Design outcomes

Primary

MeasureTime frame
•Length of hospital stay. Timepoint: from the day of admission till 30 days after discharge

Secondary

MeasureTime frame
Time elapsed until resumption of oral feeding Time for removal of nasogastric tube, drains & catheter Duration of ileus Need for extra analgesics Need for reinsertion of nasogastric tube Re-admission, re-operation & mortality rate Medical complications- pulmonary complica-tions, acute renal failure & urinary tract in-fections. Surgical complications- incidence of post-operative nausea & vomiting graded using the Apfel score17, superficial or organ type SSI (surgical site infection). Morbidity in terms of post-operative compli-cations were stratified using the Clavien-Dindo classification18 Timepoint: from the day of admission till 30 days after discharge

Countries

India

Contacts

Public ContactPranjal Soni

Jawaharlal institute of postgraduate medical education and research

drvikramkate@gmail.com9843058013

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026