Adherence to and outcomes of bundle care in major abdominal emergency surgery

Charlotte Sommer Meyer, Rune M Trangbaek*, Jakob Burcharth, Ismail Gögenur

*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskriftArtikelForskningpeer review

Abstract

INTRODUCTION: Care bundles to improve post-operative outcomes after major abdominal emergency surgery have proven to be effective. This study investigated the correlation between adherence to protocol and post-operative outcomes after implementing perioperative bundle care at a single hospital.

METHODS: This was a retrospective cohort study. Data were collected from 2018 to 2019. Patients undergoing surgery due to major emergency abdominal pathophysiology were included. The care bundle covered the pre-, intra- and post-operative course and included 12 elements. High adherence was defined as the completion of 70% of the elements. We used the Clavien-Dindo Classification and the Comprehensive Complication Index to evaluate post-operative complications.

RESULTS: A total of 120 patients were included. High adherence was obtained in 54% of the patients. We found no difference in post-operative mortality or complications when comparing high adherence with low adherence. However, cases with high protocol adherence had a longer length of stay.

CONCLUSIONS: We found no difference in mortality or complications. Patients with a high adherence had a longer hospital stay.

FUNDING: none Trial registration. not relevant.

OriginalsprogEngelsk
ArtikelnummerA11210876
Sider (fra-til)1-8
Antal sider8
TidsskriftDanish medical journal
Vol/bind69
Udgave nummer6
StatusUdgivet - 3 maj 2022

Bibliografisk note

Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Fingeraftryk

Udforsk hvilke forskningsemner 'Adherence to and outcomes of bundle care in major abdominal emergency surgery' indeholder.

Citationsformater