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The objective of this study is to implement an optimized perioperative course for patients undergoing acute high-risk abdominal surgery in order to improve the outcome.
The optimized perioperative course consists of a number of interventions carried out before, during and after surgery.
Emergency surgery is associated with high mortality rates, post-operative complications and prolonged duration of hospital admission. The investigators will implement a multidisciplinary optimized perioperative course consisting of a number of interventions carried out before, during and after surgery.
Hypothesis: An optimized perioperative course will reduce the 30-day mortality in emergency abdominal surgery patients.
The investigators will do a post-hoc analysis of the data registered.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| historic control group | No Intervention | Standard treatment in the historic control group | |
| Intervention group | Active Comparator | AHA (Acute Highrisk Abdominalsurgery): Optimized Course: Intervention before, during and after abdominal surgery. Focus on fast track with multimodal standardized intervention:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AHA (Acute Highrisk Abdominalsurgery): Optimized Course | Procedure | optimized course: Intervention before, during and after abdominal surgery. Focus on fast track with multimodal standardized intervention:
|
| Measure | Description | Time Frame |
|---|---|---|
| mortality rate | Within 30 days of surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Line T Tengberg, MD | Hvidovre University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hvidovre University Hospital | Hvidovre | 2650 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28112798 | Derived | Tengberg LT, Bay-Nielsen M, Bisgaard T, Cihoric M, Lauritsen ML, Foss NB; AHA study group. Multidisciplinary perioperative protocol in patients undergoing acute high-risk abdominal surgery. Br J Surg. 2017 Mar;104(4):463-471. doi: 10.1002/bjs.10427. Epub 2017 Jan 23. |
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| ID | Term |
|---|---|
| D007415 | Intestinal Obstruction |
| ID | Term |
|---|---|
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| C006358 | acetohydroxamic acid |
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