Scheduled elective abdominal surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: For patients (Part I, RCT): - Patients scheduled for elective abdominal surgery - Ability of subject to understand character and individual consequences of the study - Written informed consent - Age =18 years
Exclusion criteria
Exclusion criteria: For patients (Part I, RCT): - American Association of Anesthesiologists (ASA) grade > 3 - Pregnant or lactating women - Language barrier that impedes follow-up - Participation in another intervention-trial with interference of intervention and outcome of this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comprehensive complication index until postoperative day 30. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient’s perspective of hospital care measured via the patient-reported outcome measurement (PROM) HCAHPS (Hospital Consumer Assessment of Healthcare Providers and System) 1 month after discharge 2. Length of hospital stay (in days) 3. Rate of readmissions within 1 month after discharge 4. Average number of steps per day measured via a pedometer during the first 4 days on the regular ward 5. Rate of superficial and deep surgical site infections (SSI) 6. Rate of deep vein thrombosis (DVT) until discharge 7. Rate of postoperative lower respiratory tract infections (clinically defined pneumonia or bronchitis, tracheobronchitis, tracheitis) until discharge 8. Rate of urinary tract infections (symptomatic urinary tract infection OR asymptomatic bacteriuria with secondary sepsis) until discharge 9. Rate of primary sepsis as defined by current sepsis guidelines (sepsis-3) until discharge 10. Rate of pulmonary embolisms diagnosed via chest CT until discharge 11. Rate of catheter related infections (arterial and venous infections) until discharge | — |
Countries
Germany
Contacts
Klinik für Allgemein-, Viszeral- und TransplantationschirurgieUniversitätsklinikum Heidelberg