Outcomes in Emergency Laparotomies During COVID-19 Pandemic
NCT04419571 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 94
Last updated 2020-07-23
Summary
NLR has previously been observed to correlate with complications in upper GI (1) and colorectal (2) surgery. The investigators sought to assess if a similar correlation can be identified in emergency general surgical patients and if the presence of suspected or confirmed COVID-19 may impact on this.
Given the heterogeneity of emergency general surgery the investigators therefore plan to perform a retrospective review of patients having emergency laparotomies only at a single NHS site during COVID-19 pandemic. Assessment of outcomes and Neutrophil:lymphocyte ratio as a predictor of outcomes will be completed. Outcomes will be completed in line with the recent COVIDSurg study criteria (3). The primary outcome is 30-day mortality. Secondary outcomes are 7-day mortality, re-operation, length of stay, post-operative respiratory failure, post-operative ARDS (Acute Respiratory Distress Syndrome), post-operative sepsis and ITU (Intensive Therapy Unit)/HDU (High Dependency Unit) admission.
Conditions
- COVID-19
- Emergency General Surgery
Interventions
- PROCEDURE
-
Emergency Laparotomy
All adult patients undergoing emergency laparotomy
Sponsors & Collaborators
-
Barking, Havering and Redbridge University Hospitals NHS Trust
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2020-03-23
- Primary Completion
- 2020-06-16
- Completion
- 2020-06-16
Countries
- United Kingdom
Study Locations
More Related Trials
-
An Investigation of Frailty Markers and Outcomes in Patients Requiring Emergency Laparotomy
NCT05416047 ·Status: UNKNOWN
-
GlobalSurg-CovidSurg Week
NCT04509986 ·Status: UNKNOWN
-
Impact of SARS-Cov2 Pandemic on Severity of Perioperative Complications in Patients Undergoing Appendectomy
NCT05178251 ·Status: COMPLETED
-
Outpatient Left Laparoscopic Colectomy
NCT04310839 ·Status: COMPLETED
-
Attenuated Inflammatory Response in Laparoscopic Colon Surgery
NCT01419431 ·Status: COMPLETED
-
Same-Day Colectomy: is it Safe for Patients?
NCT07176715 ·Status: RECRUITING ·Phase: NA
-
Emergency General Surgery for Non-trauma
NCT04539028 ·Status: UNKNOWN
-
Trial of Open Milligan-Morgan Haemorrhoidectomy Versus Laser Closed Haemorrhoidectomy
NCT01342991 ·Status: COMPLETED ·Phase: NA
-
Impact of Moderate to Severe Pain in the Post-intervention Monitoring Room After Hemorrhoidectomy on the Length of Stay in the Outpatient Surgery Unit
NCT04567485 ·Status: COMPLETED
-
Predictive Time-to-Event Model for Major Medical Complications After Colectomy
NCT05150548 ·Status: UNKNOWN
-
Bacteriology of sUrGical Site INfection Following Surgery for Intestinal Failure
NCT05234515 ·Status: COMPLETED
-
Survival After Emergency Laparotomy in Octogenarians
NCT04176432 ·Status: COMPLETED
-
Fast Track in Open Colonic Surgery - A Multicentric Randomized Controlled Trial
NCT00556790 ·Status: TERMINATED ·Phase: NA
-
Status of Management of Surgery in Beijing During COVID-19
NCT04401124 ·Status: UNKNOWN
-
CPET in Colorectal Surgery
NCT02298907 ·Status: COMPLETED
-
Surgical-Site Infection After Laparoscopic Right Colectomy
NCT04350203 ·Status: COMPLETED
-
Laparoscopic Approach for Emergency Colon Resection
NCT05005117 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Intracorporeal Anastomosis in Laparoscopic Left Colectomy. Cohort Comparative Study
NCT04456933 ·Status: UNKNOWN
-
The Effects of Optimizing Post-operative Pain Management With Multi Modal Analgesia on Immune Suppression and Oncologic Outcome in Patients Undergoing Laparoscopic Colorectal Surgery
NCT03462836 ·Status: WITHDRAWN ·Phase: NA
-
Application of Overlap Method to Digestive Tract Reconstruction of Totally Laparoscopic Left Colectomy
NCT05034692 ·Status: RECRUITING ·Phase: NA
-
The Impact of Laparoscopic Versus Open Surgeries on the Incidence of Postoperative Deep Vein Thrombosis in Patients With Gastrointestinal Malignancy ---A Cohort Study
NCT02297269 ·Status: UNKNOWN
-
Optimal Surgical Treatment Of Fulminant Clostridium Difficile Colitis
NCT01441271 ·Status: TERMINATED ·Phase: NA
-
Outcomes of Elective Colorectal Cancer Surgery During COVID 19 Pandemic: Implications for Cancer Care Policy
NCT04588909 ·Status: UNKNOWN
-
Pain and Infection After Transvaginal Colectomy
NCT01942330 ·Status: UNKNOWN ·Phase: NA
-
Minimization of Surgical Site Infections for Pts Undergoing Colorectal Surgery
NCT00953784 ·Status: COMPLETED ·Phase: NA