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 |
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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 |