Health Condition 1: T07- Unspecified multiple injuries
Conditions
Interventions
Intervention1: Nil: Nil
Sponsors
NONE
Eligibility
Inclusion criteria
Inclusion criteria: Surgical Procedure: Any emergency surgery (gastrointestinal, vascular, urological, gynecological, trauma, etc.) Consent: Written informed consent ASA Classification: ASA I-IV E Hospital Admission: Patients admitted for emergency surgical intervention Risk Index Applicability: Cases where RCRI, NSQIP, and SORT can be applied
Exclusion criteria
Exclusion criteria: Severe Coagulopathy: Patients with severe bleeding disorders (e.g., hemophilia, DIC) Pregnancy & Lactation Incomplete Medical Records: Missing data affecting risk index calculation Non-Compliance: Patients unable to adhere to the study protocol or follow-up Emergency Cardiac or Neurological Surgeries
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the predictive accuracy of individual risk indices (RCRI, NSQIP, SORT) for adverse perioperative outcomes in emergency surgeriesTimepoint: Timepoints mentioned Preoperative: Risk scores via RCRI, NSQIP, SORT. Intraoperative: Monitor for hemodynamic instability, arrhythmias, blood loss, hypoxia. Post-op (48 hrs): Check for MI, AKI, respiratory events, unplanned ICU. Post-op (30 days): Track SSIs, VTE, pulmonary issues, readmissions, mortality. | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the predictive accuracy of each risk index for intraoperative complications (e.g., hemodynamic instability, arrhythmias, significant blood loss requiring transfusion, and hypoxiaTimepoint: ;To assess the accuracy of each risk index in predicting immediate postoperative outcomes within 48 hours (e.g., postoperative nausea and vomiting [PONV], respiratory complications [e.g., aspiration pneumonitis, pneumonia], acute kidney injury [AKI], and unplanned ICU admissions).Timepoint: For first 48 hours post operation;To evaluate the predictive power of each risk index for delayed postoperative complications up to 30 days (e.g [SSI], cardiovascular events [e.g., myocardial infarction, arrhythmias], pulmonary complications [e.g., pneumonia, pulmonary embolism], thromboembolic events [e.g., deep vein thrombosis, pulmonary embolism], transfusion-related complications, and hospital readmissions).Timepoint: For 30 days post operation;To identify the most reliable risk index for perioperative risk stratification in emergency surgeries By comparing their sensitivity, specificity, and overall predictive performance for all phases (intraoperative, immediate, and delayed postoperative outcomes).Timepoint: | — |
Countries
India
Contacts
Public ContactDr Bhavna Gupta
All India Institute of Medical Sciences Rishikesh
Outcome results
None listed