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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04602429
Other study ID # 18/0342
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date September 30, 2019
Est. completion date January 2031

Study information

Verified date October 2020
Source University College, London
Contact Ramani Moonesinghe
Phone 02070921577
Email CASAP@rcoa.ac.uk
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

To describe the type and quality of care being delivered to children (aged 1 - 16 years old) undergoing emergency abdominal surgery in the United Kingdom by measuring baseline compliance against evidence-based recommendations and identifying variations in care between individual hospitals.


Description:

The Children's Acute Surgical Abdomen Programme (CASAP) is a prospective national observational cohort study which aims to characterise the type and quality of care being delivered to children having emergency abdominal surgery. We aim to recruit every U.K. hospital undertaking this type of surgery in children, and capture information on 5000 patients over the study period. The data collected will include information on patient risk factors, compliance with process quality indicators and the incidence and type of postoperative complications encountered. The data collected will be used to describe the current epidemiology of this patient group and to develop and internally validate a risk prediction tool for children undergoing emergency abdominal surgery. This tool be used to provide hospitals with their own risk-adjusted outcome measures and can subsequently be used to inform bedside decision-making. Patients will be followed up for 10 years through a data linkage process with NHS Digital national databases.


Recruitment information / eligibility

Status Recruiting
Enrollment 5000
Est. completion date January 2031
Est. primary completion date January 2021
Accepts healthy volunteers No
Gender All
Age group 1 Year to 16 Years
Eligibility Inclusion Criteria: Children between 12 months and 16 years of age undergoing unplanned abdominal surgery, where the preoperative diagnosis was considered to be related to a non-traumatic bowel (including appendix), hepatobiliary, and/or splenic pathology. Unplanned is defined as non-elective (i.e. the patient presented requiring emergency or urgent intervention, either as a primary presentation or as a complication of previous surgery). Surgery is defined as a procedure undertaken by a surgeon in an operating theatre requiring the support of an anaesthetist. Any surgical approach (e.g. open, laparoscopic, robotic assisted etc) is acceptable. Exclusion Criteria: Patients / parents who do not provide consent. Children <12 months old on day of surgery, elective procedures, operations where the preoperative indication for surgery was considered to be traumatic, urological or gynaecological in origin, organ transplants, insertion/removal of dialysis catheters, interventional radiology procedures and Caesarean sections. Herniotomies are also excluded if the procedure does not involve access to the intra-abdominal cavity.

Study Design


Locations

Country Name City State
United Kingdom Nottingham Children's Hospital Nottingham

Sponsors (2)

Lead Sponsor Collaborator
University College, London National Institute for Health Research, United Kingdom

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Postoperative Morbidity Postoperative morbidity defined by the Clavien Dindo grading system. 30 days
Secondary Type of Complication Categorised according to the physiological system affected e.g. pulmonary, infectious 30 days
Secondary Length of Hospital Stay 30 days
Secondary Inpatient Mortality 30 days
Secondary Outpatient Mortality and Hospital Readmission 90 days, 1 year and 10 years.
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