National Emergency Bariatric Surgery Audit

NCT ID: NCT06738004

Last Updated: 2024-12-17

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

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Recruitment Status

RECRUITING

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-11-09

Study Completion Date

2025-12-09

Brief Summary

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The goal of this observational study is to investigate the incidence, management, and outcomes of complications following bariatric surgery in patients in the United Kingdom. The main questions it aims to answer are:

* What is the prevalence of unplanned interventions due to complications following bariatric surgery in the UK?
* What are the current practices for managing these complications, and how do they impact patient outcomes?

Participants will:

Be identified from hospitals treating patients presenting with complications following bariatric surgery.

Have their data collected regarding demographics, surgical history, complications, treatments, and outcomes.

Researchers will compare different management strategies and their impact on patient outcomes, with the aim of identifying best practices to improve emergency bariatric care and factors leading to patients attending as an emergency.

Detailed Description

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The National Emergency Bariatric Surgery Audit (NEBSA) is an observational study aimed at investigating the incidence, management, and outcomes of complications following bariatric surgery in the United Kingdom. The detailed description of the protocol includes the following components:

Patient Recruitment and Data Collection:

Patients will be identified in hospitals across the UK where they present for an unplanned intervention to treat a complication related to or following bariatric surgery.

Data on demographics, surgical history, site and type of index bariatric surgery, comorbidities, complications, treatments, and outcomes will be collected through a combination of electronic health records and manual data extraction.

Quality Assurance Plan:

Data checks will be performed to ensure range, completeness and consistency with other data fields in the registry.

Data entry is restricted in most fields of the data form to ensure conformity of the entries and facilitate analysis.

Sample Size Assessment:

This is a prospective observational study, so a sample size assessment is not required. Data collection will continue for a six month period per centre then analysed to report any statistically significant findings.

Plan for Missing Data:

Missing data is reported back to the collaborating sites to complete.

Statistical Analysis Plan:

The Shapiro-Wilk test will be used to check variables for Gaussian distribution. Basic demographics will be presented as absolute numbers of participants with the respective percentage per group or as parameter mean and standard deviation or median and range, depending on distribution. For comparisons of interval-scaled variables, unpaired t tests will be performed. Nonparametric between-group testing will be undertaken with 2-tailed Mann-Whitney U tests. Additionally, the chi-square test or Fisher exact test will be applied to nominal scale data. Multivariable linear regression be performed for differences among baseline demographics. Analyses will be performed in RStudio with significance defined with p \< 0.05.

The NEBSA will provide valuable insights into the prevalence, management, and outcomes of complications following bariatric surgery in the UK. By comparing different management strategies and their impact on patient outcomes, this study aims to identify best practices for emergency bariatric care, ultimately improving patient outcomes and overall healthcare quality. Another important aim is analysing the effect of patient demographics, and engagement with NHS specialised weight loss services on the choice of route for bariatric surgery.

Conditions

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Bariatric Surgery Postoperative Complications Emergencies Surgical Procedures, Operative Outcome Assessment (Health Care) Quality Improvement Morbidity Mortality

Keywords

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Bariatric surgery Emergency complications National audit Surgical outcomes Management strategies United Kingdom Patient safety Quality improvement Morbidity and mortality Postoperative complications

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Admissions from i) the emergency department, clinic, urgent care or primary care to the bariatric surgical team as an emergency; ii) from an inpatient team as an urgent referral; iii) a return to theatre following an elective bariatric procedure; iv) another hospital via patient transfer to a specialised unit.
* Participants undergoing any intervention or procedure to treat or diagnose bariatric complications, (e.g., OGDs, interventional radiology, surgery, supplemental enteral or parenteral nutrition).

Exclusion Criteria

* age \<18 years old
* have a length of stay \<24 hrs.
* initial diagnosis of BSE is changed or if their readmission is found to be unrelated to previous bariatric surgery.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alan Askari

UNKNOWN

Sponsor Role collaborator

Aruna Munasinghe

UNKNOWN

Sponsor Role collaborator

Omer Al-taan

UNKNOWN

Sponsor Role collaborator

Fahad Iqbal

UNKNOWN

Sponsor Role collaborator

Dimitri Pournaras

UNKNOWN

Sponsor Role collaborator

Matthew Lee

UNKNOWN

Sponsor Role collaborator

Roxanna Zakeri

UNKNOWN

Sponsor Role collaborator

Marianne Hollyman

UNKNOWN

Sponsor Role collaborator

Bedfordshire Hospitals NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Mohamed Aly

Consultant Upper GI and General Surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mohamed Aly, FRCS

Role: PRINCIPAL_INVESTIGATOR

The Hillingdon Hospitals NHS Foundation Trust

Locations

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Luton and Dunstable Hospital

Luton, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Mohamed Aly, FRCS

Role: CONTACT

Phone: 01895 279994

Email: [email protected]

Alan Askari, FRCS

Role: CONTACT

Email: [email protected]

Facility Contacts

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Alan Askari

Role: primary

Other Identifiers

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NEBSA1

Identifier Type: -

Identifier Source: org_study_id