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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with acute intra-abdominal pathology | Patients admitted to hospital with acute intra-abdominal pathology |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Emergency laparotomy | Procedure | Midline laparotomy for acute intra-abdominal pathology |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time without nutrition (measured in days) | This is defined as the time elapsed between last normal enteral intake, and resumption of enteral intake, or naso-enteric feeding, or parenteral nutrition. | within 90 days of admission to hospital |
| Measure | Description | Time Frame |
|---|---|---|
| In hospital complications | Complications related to surgery measured using the comprehensive complication index | within 90 days of admission to hospital |
| Feasibility of completion of complications at day of discharge |
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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:
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Patients attending two UK hospitals which provide emergency surgery services who require an emergency laparotomy
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| Name | Affiliation | Role |
|---|---|---|
| Timothy O'Connor, MBChB | Sheffield Teaching Hospitals NHS Foundation Trust | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Doncaster Royal Infirmary | Doncaster | South Yorkshire | DN2 5LT | United Kingdom | ||
| Sheffield Teaching Hospitals |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| D044342 | Malnutrition |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009748 | Nutrition Disorders |
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| ID | Term |
|---|---|
| D007813 | Laparotomy |
| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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Proportion of patients with a completed comprehensive complication index
| within 90 days of admission to hospital |
| Change in health utility | Measured using EQ-5D-5L (EuroQol- five dimension - five level) | Measurements take at baseline, 5 days post-operatively and 90 days post-operatively |
| Feasibility of completion of EQ-5D-5L (EuroQol- five dimension - five level) at 90 days | Reported as proportion of respondents replying | 90 days post operatively |
| Sheffield |
| South Yorkshire |
| S5 7AU |
| United Kingdom |
| D009750 | Nutritional and Metabolic Diseases |