Health Condition 1: K35- Acute appendicitis
Conditions
Interventions
Intervention1: NIL: NIL
Control Intervention1: NIL: NIL
Sponsors
University of Birmingham
Eligibility
Inclusion criteria
Inclusion criteria: - There are no age restrictions, although, if appropriate participating hospitals can choose to only include children or only adults, based on an age cut-off of their choice. - All patients undergoing appendicectomy for suspected or confirmed appendicitis by any surgical approach should be included. This includes pa5ents who went theatre with suspect appendicitis even if the intraoperative or pathology results found a different diagnosis, so long as an appendicectomy was performed. It also includes patients who went to theatre for reasons other than suspected appendicitis but were found to have appendicitis intraoperatively and underwent appendicectomy. This includes interval appendicectomy and right hemicolectomy if performed for acute appendicitis. - Both open and minimally invasive (laparoscopic and robotic) interven5ons are eligible for inclusion. Laparoscopic and robotic converted to open cases are also eligible.
Exclusion criteria
Exclusion criteria: - Appendicectomy for any indication other than suspected or confirmed appendicitis should be excluded. For example, patients having appendicectomy for known appendiceal neoplasm. - Patients having appendectomy as part of another surgical procedure should be excluded. For example, patients having removal of appendix as part of a colon cancer procedure are not eligible for inclusion. - Natural orifice surgery and endoscopic treatment for suspected appendicitis are excluded. -Patients having surgery for stump appendicitis are excluded. - Patients should be entered into study only once. A patient returning to theatre after appendectomy should not be re-entered as a new patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Time from symptom onset to first assessment by the surgical team. - Proportion of all patients with histology-confirmed appendicitis who had a perforated appendix on histology - Proportion of all patients having preoperative cross-sectional (CT/MRI) imaging - Proportion of all patients undergoing a laparoscopic approach for appendicectomy - Duration from decision to operate to knife to skin - Proportion of all patients with a histologically normal appendix - Post-operative length of stay - 30-day overall Clavien-Dindo complicationsTimepoint: 30 day follow up | — |
Secondary
| Measure | Time frame |
|---|---|
| NILTimepoint: NIL | — |
Countries
Afghanistan, Albania, Algeria, Argentina, Australia, Austria, Azerbaijan, Bahrain, Belarus, Belgium, Benin, Bhutan, Bolivia, Bosnia and Herzegovina, Botswana, Brazil, Bulgaria, Burkina Faso, Burundi, Cambodia, Cameroon, Canada, Chad, Chile, China, Colombia, Congo, Croatia, Cuba, Cyprus, Czech Republic, Dominican Republic, Ecuador, Egypt, Estonia, Ethiopia, Fiji, France, Gabon, Gambia, Georgia, Germany, Ghana, Greece, Guatemala, Honduras, Hungary, Iceland, India, Indonesia, Iran (Islamic Republic of), Iraq, Ireland, Israel, Italy, Jamaica, Japan, Jordan, Kazakhstan, Kenya, Kuwait, Kyrgyzstan, Latvia, Lebanon, Liberia, Libyan Arab Jamahiriya, Lithuania, Luxembourg, Macedonia, Madagascar, Malaysia, Malta, Mexico, Mongolia, Morocco, Mozambique, Namibia, Nepal, Netherlands, New Zealand, Niger, Nigeria, Norway, Oman, Other, Pakistan, Panama, Papua New Guinea, Paraguay, Peru, Philippines, Poland, Portugal, Qatar, Republic of Korea, Romania, Russian Federation, Rwanda, Saudi Arabia, Senegal, Serbia, Sierra Leone, Singapore, Slovenia, Somalia, South Africa, Spain, Sri Lanka, Sudan, Swaziland, Sweden, Switzerland, Syrian Arab Republic, Tanzania, Thailand, Tunisia, Turkey, Uganda, Ukraine, United Arab Emirates, United Kingdom, United States of America, Uruguay, Venezuela (Bolivarian Republic of), Viet Nam, Yemen, Zambia
Contacts
Public ContactDr Vishal Michael
Christian Medical College & Hospital Ludhiana
Outcome results
None listed