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

Charlotte Sommer Meyer; Rune M Trangbaek; Jakob Burcharth; Ismail Gögenur

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 tidsskrift › Artikel › Forskning › peer 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.

Originalsprog	Engelsk
Artikelnummer	A11210876
Sider (fra-til)	1-8
Antal sider	8
Tidsskrift	Danish medical journal
Vol/bind	69
Udgave nummer	6
Status	Udgivet - 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.

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https://ugeskriftet.dk/dmj/adherence-and-outcomes-bundle-care-major-abdominal-emergency-surgery

Citationsformater

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title = "Adherence to and outcomes of bundle care in major abdominal emergency surgery",

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.",

author = "Meyer, {Charlotte Sommer} and Trangbaek, {Rune M} and Jakob Burcharth and Ismail G{\"o}genur",

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.",

year = "2022",

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T1 - Adherence to and outcomes of bundle care in major abdominal emergency surgery

AU - Meyer, Charlotte Sommer

AU - Trangbaek, Rune M

AU - Burcharth, Jakob

AU - Gögenur, Ismail

N1 - 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.

PY - 2022/5/3

Y1 - 2022/5/3

N2 - 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.

AB - 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.

M3 - Article

C2 - 35670422

VL - 69

SP - 1

EP - 8

JO - Danish Medical Journal

JF - Danish Medical Journal

SN - 2245-1919

IS - 6

M1 - A11210876

ER -

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

Abstract

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