Valid MeSH Conditions
Conditions
Keywords
Textbook Outcomes, Laparoscopy, Acute Appendicitis, Open Surgery, Urgent Appendectomy
Brief summary
A textbook outcome patient is defined as one whose surgical course is uneventful, with no complications, readmissions, or mortality. There is a lack of published research regarding textbook outcomes with an acute appendicitis that are treated with an appendectomy.
Detailed description
The objective of this study is to analyze the attainment of textbook outcomes (TO) in patients undergoing urgent appendicectomy (UA) for acute appendicitis and to identify the factors associated with achieving TO.
Interventions
None listed
Sponsors
Hospital del Mar
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Acute Appendicits in older than 18 years old * Acute Appendicitis that needs appendectomy
Exclusion criteria
* Age under 18 years old * Other diagnostic than an Acute Appendicitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Textbook Outcomes | 2022-2024 | Classical assessments, focused solely on mortality and morbidity, are increasingly considered insufficient. A more comprehensive approach, using composite measures, offers a more accurate evaluation, providing a multidimensional view and patient-centred healthcare appraisal. The textbook outcome (TO) is the most used objective composite measure to compare surgical quality across centres |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Appendectomy in less than 24h | 2022-2024 | From diagnostic of Acute Appendicitus to Surgical Treatment should be less than 24h |
| Hospital Stay less than 5 days | 2022-2024 | Optimal hospital stay should be less than 5 days |
| Intraoperative incidences | 2022-2024 | Intraoperative bleeding, perforation of the appendix, iatrogenic injury to other structures |
| Short antibiotics treatment | 2022-2024 | Less than 72h of antibiotic treatment |
| Readmision index | 2022-2024 | Percentage of readmission |
| Surgical Risk | 2022-2024 | ASA Scoring System |
| Intraoperative appendicitis gradding | 2022-2024 | AAST classification AAST I: Acutely inflamed appendix, intact. AAST II:Gangrenous appendix, intact AAST III:Above, with evidence of local contamination AAST IV:Above, with abscess or phlegmon in region of appendix AAST V:Above, with addition of generalized purulent contamination away from appendix WSES Classification: Grade- 0 (normal looking) Grade-1 (inflamed) Grade- 2A and 2B (necrosis) Grade- 3A - 3B - 3C (perforated - inflammatory tumor) Grade- 4 (perforate - diffuse peritonitis) |
| Postperative complications | 2022-2024 | Clavien Dindo and CCI (https://www.cci-calculator.com/) Grade I: Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic, and radiological interventions. Grade II:Requiring pharmacological treatment with drugs other than such allowed for Grade I Grade III:Requiring surgical, endoscopic or radiological intervention. Grade IV:Life-threatening complication (including CNS complications)\* requiring IC/ICU-management with single or multiorgan disfunction. Grade V: Death of a patient |
| Patient comorbidities | 2022-2024 | Charlson Comorbidity Index |
Contacts
Primary ContactAna Maria Gonzalez Castillo PhD, PhD
Backup ContactAna Maria González Castillo PhD, PhD
Outcome results
None listed