Timan Terje Jansson, Sernert Ninni, Karlsson Ove, Prytz Mattias
Institute of Clinical Sciences, Department of Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Research and Development, NU-Hospital group, Trollhättan, Sweden.
BMC Res Notes. 2020 Mar 31;13(1):193. doi: 10.1186/s13104-020-05030-4.
Emergency laparotomy and other high-risk acute abdominal surgery procedures have a high mortality rate. The perioperative management of these patients is complex and poses several challenges. The objective of the study is to implement and evaluate the outcome of protocol-based standardised care for patients in need of acute abdominal surgery in a Swedish setting. NÄL is a large county hospital in Sweden serving a population of approximately 270,000 inhabitants. The study seeks to determine whether standardised protocol-based perioperative management in emergency abdominal surgical procedures leads to a better outcome measured as short- and long-term mortality and postoperative complications compared with the present standard in Swedish routine care. The study is ongoing, and this article describes the methodology used in the study and discusses the benefits and limitations the study design.
There are no results so far. The inclusion rate for the first 22 months is as expected; 404 patients have been included and protocols have been followed and reviewed according to the study plan. 25 patients have been missed and demographic data and outcome data for these patients will be collected and analysed.
急诊剖腹手术及其他高风险急性腹部外科手术的死亡率很高。这些患者的围手术期管理复杂，存在诸多挑战。本研究的目的是在瑞典的环境中，对需要进行急性腹部手术的患者实施并评估基于方案的标准化护理的效果。NÄL是瑞典一家大型县级医院，服务人口约27万。该研究旨在确定与瑞典常规护理的现行标准相比，急诊腹部外科手术中基于标准化方案的围手术期管理在短期和长期死亡率以及术后并发症方面是否能带来更好的结果。该研究正在进行中，本文描述了该研究中使用的方法，并讨论了研究设计的益处和局限性。
目前尚无结果。前22个月的纳入率符合预期；已纳入404例患者，并已按照研究计划遵循和审查了方案。有25例患者被遗漏，将收集并分析这些患者的人口统计学数据和结果数据。
