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

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.

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Key information

Conditions

Perforated Viscus Digestive System Diseases Gastrointestinal Diseases Intestinal Diseases Intestinal Obstruction

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hvidovre University Hospital

Hvidovre, 2650, Denmark

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

patients undergoing primary emergency laparotomy or laparoscopy
patients undergoing reoperation after abdominal surgery.
Age > 18 years

Exclusion criteria

Appendectomy
Emergency laparoscopic cholecystectomy
Emergency diagnostic laparoscopy without intervention

Treatment and study plan

AHA (Acute Highrisk Abdominalsurgery): Optimized Course

Procedure

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

Focus on fast track with multimodal standardized intervention:

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

Primary outcomes

mortality rate

Time frame: Within 30 days of surgery

Sponsors and collaborators

Lead sponsor

Hvidovre University Hospital

Other

Registry information

Acronym: AHA

Important dates

Study start: 2013
Primary completion: 2015
Study completion: 2015
First posted: Jul 16, 2013
Registry last updated: Jun 12, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed