Status:
NOT_YET_RECRUITING
Peri-Operative Surgical Care Optimisation for Patients Requiring Emergency Surgery
Lead Sponsor:
NHS Greater Glasgow and Clyde
Collaborating Sponsors:
Bowel Research UK
NHS Lothian
Conditions:
Quality of Life (QOL)
Decision Making
Eligibility:
All Genders
18+ years
Brief Summary
Emergency General Surgery (EGS) is an umbrella term which describes all patients presenting to hospital with an acute abdominal problem. Patients can have various conditions requiring emergency operat...
Eligibility Criteria
Inclusion
- Group 1 and 2: EmLap and NoLap patients (up to 30 participants)
- Patient inclusion/exclusion criteria should mirror NELA inclusion/exclusion criteria and NELA NoLap guidelines. NELA is the "National Emergency Laparotomy Audit" which recruits patients in Wales and England and there inclusion/exclusion criteria are widely accepted for use in Emergency General Surgery research.
- Inclusion criteria
- Age \>65 years old
- Able to communicate in English
- Cognitively able to complete the survey/interviews
- Able to provide informed, voluntary consent
- First line treatment is expedited, urgent or emergency abdominal surgery on the gastrointestinal tract
- Surgery can be laparoscopic or open approach
- Exclusion criteria
- Age \<65 years old
- NoLaps should be excluded if management involved interventional radiology or endoscopic procedures
- Patients who are offered a period of conservative treatment are not automatically NoLap if surgery may ultimately be offered
- Diagnosis of dementia or long-standing cognitive impairment
- Elective laparotomy/laparoscopy
- Diagnostic laparotomy/laparoscopy where no subsequent procedure is performed (however, if no procedure is performed because of inoperable pathology, then include)
- All surgery involving the appendix or gallbladder, including any surgery relating to complications
- Non-elective hernia repair without bowel resection or division of adhesions
- Non-elective formation of colostomy or ileostomy
- Trauma surgery (blunt or penetrating), vascular surgery, obstetric/gynaecological surgery or transplant surgery
- Surgery for pathology of oesophagus, spleen, renal tract, kidneys, liver, gallbladder and biliary tree, pancreas or urinary tract
- Group 3: Families/Supporters (up to 30 participants) Inclusion criteria
- Identified by the patient participant (only approached if nominated by patient)
- Age \>18 years old
- Able to communicate in English
- Cognitively able to complete the survey/interviews
- Able to provide informed, voluntary consent
- Exclusion criteria
- Age\<18 years old
- Lack of patient consent to family/supporter involvement
- Group 3: Consultants (interview:12-20 participants/survey: minimum 52 participants) Inclusion criteria
- Key decision-makers will be identified in workstream 1 (likely: surgeons, intensivists and anaesthetists)
- Post-CCT (Certificate of Completion of Training)
- Participate in active on-call for EGS in a UK-based Hospital where they make decisions in EGS regularly
- Exclusion criteria
- • Consultants not done \>2 years of on-call
Exclusion
Key Trial Info
Start Date :
June 1 2025
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
December 1 2027
Estimated Enrollment :
112 Patients enrolled
Trial Details
Trial ID
NCT06972017
Start Date
June 1 2025
End Date
December 1 2027
Last Update
May 14 2025
Active Locations (0)
Enter a location and click search to find clinical trials sorted by distance.
No Results Found
We couldn’t find results for the location/zipcode entered or within the selected range. Please check your input or adjust your search.