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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06180668
Other study ID # GlobalTraumaLaprotomy
Secondary ID
Status Not yet recruiting
Phase
First received
Last updated
Start date April 2024
Est. completion date February 2025

Study information

Verified date December 2023
Source University of Cambridge
Contact Michael F Bath, MBChB
Phone +44 (0)1223748577
Email mb2583@cam.ac.uk
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The goal of this observational study is to assessing the global variation in patient characteristics, management, and outcomes in those undergoing trauma laparotomy. The main questions it aims to answer are: - What are the post-operative mortality rates for patients undergoing a trauma laparotomy globally - What are the epidemiological characteristics (demographics, injury characteristics, baseline clinical characteristics, and surgical case mix) for patients undergoing a trauma laparotomy - What are the pre-operative, peri-operative, and post-operative processes of care for patients undergoing a trauma laparotomy This is a purely observational study on patients undergoing trauma laparotomy, with no direct change to clinical care.


Description:

We will conduct a prospective multi-centre observational cohort study of patients undergoing a trauma laparotomy. We will recruit centres through pre-existing research networks, utilising a snowballing technique to expand registration of centres. We will enrol eligible patients undergoing emergency trauma laparotomy over a consecutive 30 day period at individual centres during the study dates, with patients followed until discharge, death, or 30 days post-operatively, whichever comes first. All data will be submitted to a central study team by 30 days after the end of their respective data study period. Any hospital worldwide that performs emergency trauma surgery will be eligible to participate, including both trauma centres and trauma units; a minimum of 1 case must be submitted by the centre during the 30 day study period to be eligible. Each centre's team will be comprised of a local study lead, with maximum 3 members of the local study team for each data collection period. Independent data validators will be also required for select centres. We will include patients of all ages who present to hospital with a blunt or penetrating injury and undergo a trauma laparotomy within 5 days of presentation to the treating centre (day 0 being time of presentation). A patient will be included for final analysis if >70% of the data points required have been recorded. Exclusion criteria are: - Patients undergoing a laparotomy ≥ 5 days (i.e. 120 hours) since presentation to the treating centre - Any relook laparotomy, including transfers from another centre for further and / or definitive surgery - Any laparoscopic (including laparoscopic converted to open), robotic, or image-guided procedures - Patients who have been recently discharged from any hospital (including for non-trauma related admissions) and have represented within 30 days of discharge We aim to collect system, patient, process, and outcome data. A data set will be collected on all patients undergoing a trauma laparotomy within the inclusion period. The included data fields were based on work by similar studies and refined through iterative consultation with a global interdisciplinary consortium of clinicians involved in trauma care. Data will be collected through access to patient records only at each centre, performed by members of the local study team. The patient will not be contacted directly in any capacity during their inpatient stay or after the study and no direct involvement in patient care will occur. Data will be collected directly onto a well-established secure web-based system, REDCap cloud (or recorded temporarily onto a hard copy Data Collection Form and uploaded to REDCap at a later date) The data collected will include a pragmatic set of variables that allow the proposed research to be conducted, but minimise both risk of identification and exclude extraneous possibly sensitive medical information. Local requisite ethics and approvals will be applied for and be in place before any data collection occurs.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 552
Est. completion date February 2025
Est. primary completion date December 2024
Accepts healthy volunteers No
Gender All
Age group N/A and older
Eligibility Inclusion Criteria: - Any patients of any ages who presents to hospital with a blunt or penetrating injury and undergo a trauma laparotomy within 5 days of presentation to the treating centre Exclusion Criteria: - Patients undergoing a laparotomy = 5 days (i.e. 120 hours) since presentation to the treating centre - Any relook laparotomy, including transfers from another centre for further and / or definitive surgery - Any laparoscopic (including laparoscopic converted to open), robotic, or image-guided procedures - Patients who have been recently discharged from any hospital (including for non-trauma related admissions) and have represented within 30 days of discharge

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Trauma Laparotomy
Emergency abdominal surgery through midline incision to access abdominal and / or pelvic organs, to access identified injuries or exploratory diagnostic reasons

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
University of Cambridge

Outcome

Type Measure Description Time frame Safety issue
Primary Mortality All cause 30-day post-operative mortality rate 30 days post-operatively
Secondary Length of Hospital Stay Time in hospital, from the operation until discharge 30 days post-operatively
Secondary Morbidity Rates Any post-operative morbidity that occurred to the patient, as defined by the adapted Clavien-Dindo in trauma scale 30 days post-operatively
Secondary Discharge Destination At time of discharge or stepdown from hospital, location the patient was discharged 30 days post-operatively
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