Health Condition 1: K631- Perforation of intestine (nontraumatic)
Conditions
Interventions
Sponsors
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
| Measure | Time frame |
|---|---|
| •Length of hospital stay. Timepoint: from the day of admission till 30 days after discharge | — |
Secondary
| Measure | Time 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
Jawaharlal institute of postgraduate medical education and research