Emergencies, Malnutrition, Surgery
Conditions
Keywords
emergency surgery, malnutrition, pilot study
Brief summary
Patients in emergency settings might become malnourished. There are different ways to identify the group as 'at risk' of malnutrition. There are also several different ways to measure outcomes. This pilot study will look at patients undergoing emergency laparotomy, investigate relationships between different selection criteria and outcome measures, and test feasibility of outcome measure collection.
Detailed description
Patients in emergency settings might become malnourished. There are different ways to identify the group as 'at risk' of malnutrition. There are also several different ways to measure outcomes. This pilot study will look at patients undergoing emergency laparotomy, investigate relationships between different selection criteria and outcome measures, and test feasibility of outcome measure collection.
Interventions
PROCEDUREEmergency laparotomy
Midline laparotomy for acute intra-abdominal pathology
Sponsors
Sheffield Teaching Hospitals NHS Foundation Trust
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Willing to consent, -≥ 18 years old * eligible for inclusion in National Emergency Laparotomy Audit * first procedure during admission (\<7 days from admission).
Exclusion criteria
* Recent discharge from hospital (within 60 days), * unable to provide informed consent * life expectancy \<12 months * prisoners * lack mental capacity * language barrier affecting ability to provide consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time without nutrition (measured in days) | within 90 days of admission to hospital | This is defined as the time elapsed between last normal enteral intake, and resumption of enteral intake, or naso-enteric feeding, or parenteral nutrition. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| In hospital complications | within 90 days of admission to hospital | Complications related to surgery measured using the comprehensive complication index |
| Feasibility of completion of complications at day of discharge | within 90 days of admission to hospital | Proportion of patients with a completed comprehensive complication index |
| Change in health utility | Measurements take at baseline, 5 days post-operatively and 90 days post-operatively | Measured using EQ-5D-5L (EuroQol- five dimension - five level) |
| Feasibility of completion of EQ-5D-5L (EuroQol- five dimension - five level) at 90 days | 90 days post operatively | Reported as proportion of respondents replying |
Countries
United Kingdom
Outcome results
None listed