Quality of Life and Persistent Pain 3 Months After Emergency Surgery Before and After a National Urgency Classification

N/AActive Not RecruitingNCT07819903

Centre Hospitalier Universitaire de Nice200 enrolled

Overview

The aim of this study is to evaluate the impact of implementing a national surgical emergency classification system in the emergency operating room in Nice on patients' quality of life and persistent pain 3 months after surgery. This work is a local ancillary study of the CLASSE trial conducted by the French Society of Anaesthesia and Intensive Care Medicine (SFAR). The primary hypothesis is that implementing a decision-support tool incorporating recommended time-to-surgery targets will improve patients' health status 3 months after surgery, as reflected by higher SF-36 Physical Component Summary (PCS) scores, a lower incidence of persistent and neuropathic pain, and greater patient satisfaction.

Study Type

OBSERVATIONAL

Enrollment

200

Conditions

Emergencies Quality of Life Postoperative Pain

Interventions

Usual-practice emergency-surgery triage

National surgical-emergency classification-based triageOTHER

Participants are included during the corresponding weeks of March 2027, after local implementation of the national surgical-emergency classification and its recommended time-to-surgery targets. No individual exposure is assigned by the investigators.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient locally enrolled in CLASSE trial * Patient aged \>18 years * Patient receiving initial care * Patient having a diagnosis * Patient with valid contact information * Patient with no objection to ancillary follow-up * Patient able to participate in a telephone interview in French. Exclusion Criteria: * Major cognitive impairment. * Persistent inability to understand French * Hearing or speech impairment incompatible with a standardized telephone interview * Explicit refusal at the time of the call.

Outcomes

Primary Outcomes

SF-36 Physical Component Summary (PCS) score at 3 months

PCS calculated from SF-36 responses using the validated scoring algorithm prespecified in the analysis plan. Higher scores indicate better physical health-related quality of life.

Time frame: 3 months after index surgery (day 90 to day 120)

Secondary Outcomes

SF-36 Mental Component Summary (MCS) score at 3 months

MCS calculated from SF-36 responses using the validated scoring algorithm prespecified in the analysis plan. Higher scores indicate better mental health-related quality of life.

Time frame: 3 months after index surgery (day 90 to day 120)

Persistent postsurgical pain at 3 months

Proportion of participants reporting current pain in or around the operated area or relevant territory that was absent before surgery or was clearly worsened or changed after surgery.

Time frame: 3 months after index surgery (day 90 to day 120)

Quality of Life and Persistent Pain 3 Months After Emergency Surgery Before and After a National Urgency Classification

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes