Adherence to and outcomes of bundle care in major abdominal emergency surgery
Rune M Trangbaek1, Jakob Burcharth2, Ismail Gögenur2
1Department of Surgery, Slagelse Hospital.
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.
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