Abdomen, Acute
Conditions
Keywords
Emergency laparotomy, General surgery, Clinical outcomes
Brief summary
The goal of this observational cohort study is to evaluate the standard of care for general surgerical patients undergoing emergency laparotomy and assess factors affecting clinical outcomes, as well as evaluating the quality of life in the year after abdominal surgery. The main questions it aims to answer are: 1. what factors are associated with adverse post-operative events 2. are patients treated differently based on sex or age 3. how does quality of life look like and possibly change over the coarse of a year after surgery This is an evaluation of the current standard of care and the outcomes of this patient group prior to the implementation of a standardised care protocols for emergency laparotomy patients. Secondly, the study aims to, over time, compare results before and after the introduction of this standardised care protocol.
Interventions
OTHERStandardised laparotomy care
This is a cohort study and no intervention as part of the study has been introduced. We are studying two groups and comparing the two before and after the introduction of a standardised laparotomy care protocol as part of a clinical quality improvement measure.
Sponsors
Region Stockholm
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Undergoing emergency laparotomy due to general surgical indication
Exclusion criteria
* Children under 16 * Trauma laparotomy * Vascular, urological or gynaecological indication for laparotomy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In-hospital mortality | 30 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| In-hospital serious complications | 30 days | Severity measured through Clavien-Dindo classification |
| Long-term mortality | 1 year | — |
| Quality of life questionnaires | 1 year | As measured through questionnaires at 1 month, 3 months and up to 1 year post-operatively. |
Countries
Sweden
Contacts
Primary ContactRebecka Ahl Hulme, MD PhD
Outcome results
None listed