Clinical Outcomes and Equality in Healthcare for Emergency General Surgery Patients Undergoing Emergency Laparotomy (LAPTOP)

Region Stockholm

Status: Enrolling

Conditions: Abdomen, Acute

Treatments: Other: Standardised laparotomy care

Study type: Observational

Funder types: Other

Identifiers

NCT05623176

K2022-9097

Details and patient eligibility

About

The goal of this observational cohort study is to evaluate the standard of care for general surgerical patients undergoing emergency laparotomy and assess factors affecting clinical outcomes, as well as evaluating the quality of life in the year after abdominal surgery.

The main questions it aims to answer are:

1. what factors are associated with adverse post-operative events
2. are patients treated differently based on sex or age
3. how does quality of life look like and possibly change over the coarse of a year after surgery

This is an evaluation of the current standard of care and the outcomes of this patient group prior to the implementation of a standardised care protocols for emergency laparotomy patients. Secondly, the study aims to, over time, compare results before and after the introduction of this standardised care protocol.

Enrollment: 2,000 estimated patients

Sex: All

Ages: 16+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Undergoing emergency laparotomy due to general surgical indication

Exclusion criteria

• Children under 16
• Trauma laparotomy
• Vascular, urological or gynaecological indication for laparotomy

Trial design

2,000 participants in 2 patient groups

Old routine of non-standardised laparotomy care

Description:

Group following the old routine of emergency laparotomy care i.e. no existing standardised care protocols.

New routine of standardised laparotomy care

Description:

Group which has been part of the hospital's new standardised care routine for emergency laparotomy.

Treatment:

Other: Standardised laparotomy care