Implementation of an Epidemiological and Clinical Registry of Emergency Surgery Patients in a Costa Rican Hospital

Emergencies Clinical Trial

Official title:

Demographic and Clinical Characterization of Patients Operated by the General Surgery Service Who Were Admitted by the Emergency Service of the Dr. Rafael Ángel Calderón Guardia Hospital, 2021-2022.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05930574
• Other study ID #: 01-UIS-HCG-2023
• Status: Completed
• Start date: May 1, 2020
• Est. completion date: December 31, 2022

Study information

• Verified date: June 2023
• Source: Caja Costarricense de Seguro Social
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

A retrospective cross-sectional study was conducted in a quaternary level university hospital of the Costa Rican public health system. The study included all patients aged 12 years and older who required emergency surgery by the hospital's emergency surgery and trauma service, admitted through the hospital's emergency service.

Description:

This research consists in a retrospective cross-sectional study carried out in a quarterly level university hospital of care of the Costa Rican public health system (high complexity). The study included all patients aged 12 years or older who required emergency surgery for the hospital's emergency surgery and trauma service, admitted to this center between 2020 and 2022. Only those patients who required emergency surgery by another surgical specialty during this period were excluded from the register. A non-probabilistic convenience sampling was performed, based on the pre-established selection criteria and determined by the number of patients treated in the shock room of the hospital, that subsequently received general emergency or trauma surgery in the period under study. Sociodemographic variables, hemodynamic status, period of hospitalization, related to the procedure performed and the underlying comorbidities, as well as the clinical outcome, were included in the study database.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 575
• Est. completion date: December 31, 2022
• Est. primary completion date: November 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 12 Years to 100 Years

Eligibility

Inclusion Criteria:

• The study included all patients aged 12 years and older who required emergency surgery by the hospital's emergency surgery and trauma service, admitted through the hospital's emergency service.

Exclusion Criteria:

• . Only those patients who required emergency surgery by another surgical specialty during this period were excluded from the register.

Related Conditions & MeSH terms

• Emergencies
• Surgical Complication

Intervention

Procedure:
• Abdominal surgery
surgical interventions by gastrointestinal emergencies, hepatobiliary emergencies and trauma

Locations

Country	Name	City	State
Costa Rica	Unidad de Investigación en Salud, Hospital Dr. Rafael Angel Calderón Guardia	San José

Sponsors (1)

Lead Sponsor	Collaborator
Caja Costarricense de Seguro Social

Country where clinical trial is conducted

Costa Rica, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mortality	Mortality rate after the surgical procedure during hospitalization	retrospective study (2020-2022)
Primary	Mechanical ventilation	Days of mechanical ventilation needed	retrospective study (2020-2022)
Primary	Requirement of Intensive Care Unit	Days of permanence in Intensive Care Unit	retrospective study (2020-2022)
Primary	Infections	Infection rate after the surgical procedure during hospitalization	retrospective study (2020-2022)