Emergency abdominal surgery through midline laparotomy in patients aged 50 years and over Surgery
Conditions
Interventions
Following enrollment, data will be collected on patient demographics, operative details, organ support requirements, critical care support, lengths of stay, pre-specified complications along with seve
Sponsors
Southern Health and Social Care Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 50 years or over 2. Admitted to Craigavon Area Hospital 3. Undergoing non-scheduled (urgent or emergent) abdominal surgery through a midline laparotomy incision
Exclusion criteria
Exclusion criteria: 1. Pregnancy 2. Unlikely to survive more than 24 hours irrespective of treatment 3. Ruptured abdominal aortic aneurysm 4. Laparotomy for penetrating abdominal trauma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| All-cause mortality at 90 days following surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Length of hospital stay (up to point when judged medically fit for discharge) 2. Number of organ failures (SOFA score) 3. Major adverse cardiac events (pre-specified) 4. Postoperative complications (number and severity using standardised Clavien-Dindo classification) 5. Requirement for postoperative critical care 6. Duration of critical care support 7. Individual organ support days 8. Need for reoperation within 30 days 9. Time from surgery to death | — |
Countries
United Kingdom
Contacts
Public ContactLaura Espie
Outcome results
None listed