Adherence to and outcomes of bundle care in major abdominal emergency surgery
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Adherence to and outcomes of bundle care in major abdominal emergency surgery. / Trangbaek, Rune M; Burcharth, Jakob; Gögenur, Ismail.
In: Danish Medical Journal, Vol. 69, No. 6, A11210876, 03.05.2022.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Adherence to and outcomes of bundle care in major abdominal emergency surgery
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.
KW - Abdomen/surgery
KW - Humans
KW - Length of Stay
KW - Perioperative Care
KW - Postoperative Complications
KW - Retrospective Studies
M3 - Journal article
C2 - 35670422
VL - 69
JO - Danish Medical Journal
JF - Danish Medical Journal
SN - 2245-1919
IS - 6
M1 - A11210876
ER -
ID: 310865508