Impact of Nutritional Deficit in Emergency Surgery

Sheffield Teaching Hospitals NHS Foundation Trust59 enrolled

Overview

Patients in emergency settings might become malnourished. There are different ways to identify the group as 'at risk' of malnutrition. There are also several different ways to measure outcomes. This pilot study will look at patients undergoing emergency laparotomy, investigate relationships between different selection criteria and outcome measures, and test feasibility of outcome measure collection.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Emergencies Surgery Malnutrition

Interventions

Emergency laparotomyPROCEDURE

Midline laparotomy for acute intra-abdominal pathology

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Willing to consent, -≥ 18 years old * eligible for inclusion in National Emergency Laparotomy Audit * first procedure during admission (\<7 days from admission). Exclusion Criteria: * Recent discharge from hospital (within 60 days), * unable to provide informed consent * life expectancy \<12 months * prisoners * lack mental capacity * language barrier affecting ability to provide consent

Locations (2)

Doncaster Royal Infirmary

Doncaster, South Yorkshire, United Kingdom

Sheffield Teaching Hospitals

Sheffield, South Yorkshire, United Kingdom

Outcomes

Primary Outcomes

Time without nutrition (measured in days)

This is defined as the time elapsed between last normal enteral intake, and resumption of enteral intake, or naso-enteric feeding, or parenteral nutrition.

Time frame: within 90 days of admission to hospital

Secondary Outcomes

In hospital complications

Complications related to surgery measured using the comprehensive complication index

Time frame: within 90 days of admission to hospital

Feasibility of completion of complications at day of discharge

Proportion of patients with a completed comprehensive complication index

Time frame: within 90 days of admission to hospital

Change in health utility

Measured using EQ-5D-5L (EuroQol- five dimension - five level)

Time frame: Measurements take at baseline, 5 days post-operatively and 90 days post-operatively

Feasibility of completion of EQ-5D-5L (EuroQol- five dimension - five level) at 90 days

Reported as proportion of respondents replying

Time frame: 90 days post operatively

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.