Adherence to and outcomes of bundle care in major abdominal emergency surgery
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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 |
Tidsskrift | Danish Medical Journal |
Vol/bind | 69 |
Udgave nummer | 6 |
Antal sider | 8 |
ISSN | 2245-1919 |
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.
Links
- https://ugeskriftet.dk/dmj/adherence-and-outcomes-bundle-care-major-abdominal-emergency-surgery
Forlagets udgivne version
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