Acute High-risk Abdominal Surgery Study - an Optimized Perioperative Course

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2015-06-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

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.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Is Life Worth Living After Major Emergency GI Surgery? Patient Reported Outcome in Elderly Emergency Surgery Patients

NCT02377687

Emergency Surgery

COMPLETED

Enhanced Perioperative Care for the Prevention of Colorectal Anastomotic Leakage

NCT05250882

Anastomotic Leak Small Intestine Anastomotic Leak Large Intestine Anastomotic Leak Rectum +1 more

UNKNOWN NA

Retrospective Acute Care Appendectomy Study

NCT06624215

Acute Appendicitis

RECRUITING

Predicting Abdominal Reoperation

NCT05516420

Surgery Abdominal Adhesion

COMPLETED

Clinical Outcomes of Non-Indicated Staged Laparotomies in Abdominal Trauma

NCT07110350

Abdominal Trauma Damage Control Surgery Laparotomy

NOT_YET_RECRUITING

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

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.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Perforated Viscus Intestinal Obstruction

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

historic control group

Standard treatment in the historic control group

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention group

AHA (Acute Highrisk Abdominalsurgery): Optimized Course:

Intervention before, during and after abdominal surgery.

Focus on fast track with multimodal standardized intervention:

1. standardized preparing for surgery including high dose antibiotics and epidural analgesia etc. and transfer to intermediate care before surgery (the post-anaesthesia care unit)
2. GDT-LiDCO fluid management pre-, per- and postoperative
3. Postoperative triage to 24 hour intermediate care based on ASA score and Surgical Apgar Score
4. Focus on early mobilization, fysiotherapy and optimal nutrition postoperatively

Group Type ACTIVE_COMPARATOR

AHA (Acute Highrisk Abdominalsurgery): Optimized Course

Intervention Type PROCEDURE

optimized course: Intervention before, during and after abdominal surgery.

Focus on fast track with multimodal standardized intervention:

1. standardized preparing for surgery including high dose antibiotics and epidural analgesia etc. and transfer to intermediate care before surgery (the post-anaesthesia care unit)
2. GDT-LiDCO fluid management pre-, per- and postoperative
3. Postoperative triage to 24 hour intermediate care based on ASA score and Surgical Apgar Score
4. Focus on early mobilization, fysiotherapy and optimal nutrition postoperatively

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

AHA (Acute Highrisk Abdominalsurgery): Optimized Course

optimized course: Intervention before, during and after abdominal surgery.

Focus on fast track with multimodal standardized intervention:

1. standardized preparing for surgery including high dose antibiotics and epidural analgesia etc. and transfer to intermediate care before surgery (the post-anaesthesia care unit)
2. GDT-LiDCO fluid management pre-, per- and postoperative
3. Postoperative triage to 24 hour intermediate care based on ASA score and Surgical Apgar Score
4. Focus on early mobilization, fysiotherapy and optimal nutrition postoperatively

Intervention Type PROCEDURE