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A study to compare the outcomes of the emergency exploratory laparotomy patients in terms of ICU and in-hospital mortality, who require intensive care in the perioperative setting (before or after operation), retrospectively and prospectively after implementing a co-designed care bundle.

Impact of implementing co-designed care bundles on the outcomes of critically ill patients after emergency exploratory laparotomy-a pre-post analysis.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/01/079731
Enrollment
152
Registered
2025-01-29
Start date
Unknown
Completion date
Unknown
Last updated
2025-03-03

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

Conditions

Health Condition 1: Z488- Encounter for other specified postprocedural aftercare

Interventions

Intervention1: AIIMS emergency laparotomy quality improvement care bundle (AEL-QICB): Components of the bundle- According to the ERAS Society recommendation on emergency laparotomy, the perioperative

Sponsors

Amit Kumar Dey
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Undergoing emergency exploratory (upper and lower midline incision) laparotomy for the acute disease process, trauma, or surgical complication required intensive care in the perioperative period Patients requiring concurrent general thoracotomy are also included

Exclusion criteria

Exclusion criteria: 1)Patients under 16 years of age 2)Elective laparotomy 3)Appendicectomy of any type as the sole surgical procedure 4)Cholecystectomy of any type as the sole surgical procedure 5)Gynecological laparoscopy or laparotomy of any type unless the primary pathology is proven to be general surgical 6)Surgery related to organ transplantation 7)Emergency laparotomy for vascular surgery

Design outcomes

Primary

MeasureTime frame
To compare perioperative outcomes of the patients undergoing emergency exploratory laparotomy before and after implementing the AIIMS Emergency Laparotomy Quality Improvement Care Bundle (AEL-QICB). Primary objective- To compare the ICU and in-hospital mortality between the two study populations.Timepoint: Primary outcome-ICU and in-hospital mortality will be assessed within 30 days of hospitalization.—

Secondary

MeasureTime frame
Secondary objectives- Day 30 mortality ICU length of stay ICU Re-admission rate Timepoint: All secondary outcomes will be assessed within 30 days of hospitalization.—

Countries

India

Contacts

Public ContactProf Dr Swagata Tripathy

AIIMS Bhubaneswar

tripathyswagata@gmail.com8763400534

Outcome results

None listed

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