Surgery Clinical Trial
— CASAPOfficial title:
Children's Acute Surgical Abdomen Programme
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 |
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.
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. |
Country | Name | City | State |
---|---|---|---|
United Kingdom | Nottingham Children's Hospital | Nottingham |
Lead Sponsor | Collaborator |
---|---|
University College, London | National Institute for Health Research, United Kingdom |
United Kingdom,
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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