Implementation of an Epidemiological and Clinical Registry of Emergency Surgery Patients in a Costa Rican Hospital

June 30, 2023 updated by: María Rosario Espinoza Mora, Caja Costarricense de Seguro Social

Demographic and Clinical Characterization of Patients Operated by the General Surgery Service Who Were Admitted by the Emergency Service of the Dr. Rafael Ángel Calderón Guardia Hospital, 2021-2022.

A retrospective cross-sectional study was conducted in a quaternary level university hospital of the Costa Rican public health system. The study included all patients aged 12 years and older who required emergency surgery by the hospital's emergency surgery and trauma service, admitted through the hospital's emergency service.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This research consists in a retrospective cross-sectional study carried out in a quarterly level university hospital of care of the Costa Rican public health system (high complexity). The study included all patients aged 12 years or older who required emergency surgery for the hospital's emergency surgery and trauma service, admitted to this center between 2020 and 2022. Only those patients who required emergency surgery by another surgical specialty during this period were excluded from the register. A non-probabilistic convenience sampling was performed, based on the pre-established selection criteria and determined by the number of patients treated in the shock room of the hospital, that subsequently received general emergency or trauma surgery in the period under study. Sociodemographic variables, hemodynamic status, period of hospitalization, related to the procedure performed and the underlying comorbidities, as well as the clinical outcome, were included in the study database.

Study Type

Observational

Enrollment (Actual)

575

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Costa Rica
      • San José, Costa Rica
        • Unidad de Investigación en Salud, Hospital Dr. Rafael Angel Calderón Guardia

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Patients requiring emergency surgery by the hospital's emergency surgery and trauma service, admitted through the hospital's emergency service.

Description

Inclusion Criteria:

  • The study included all patients aged 12 years and older who required emergency surgery by the hospital's emergency surgery and trauma service, admitted through the hospital's emergency service.

Exclusion Criteria:

  • . Only those patients who required emergency surgery by another surgical specialty during this period were excluded from the register.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Mortality
Time Frame: retrospective study (2020-2022)
Mortality rate after the surgical procedure during hospitalization
retrospective study (2020-2022)
Mechanical ventilation
Time Frame: retrospective study (2020-2022)
Days of mechanical ventilation needed
retrospective study (2020-2022)
Requirement of Intensive Care Unit
Time Frame: retrospective study (2020-2022)
Days of permanence in Intensive Care Unit
retrospective study (2020-2022)
Infections
Time Frame: retrospective study (2020-2022)
Infection rate after the surgical procedure during hospitalization
retrospective study (2020-2022)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Caja Costarricense de Seguro Social

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 1, 2020

Primary Completion (Actual)

November 30, 2020

Study Completion (Actual)

December 31, 2022

Study Registration Dates

First Submitted

June 24, 2023

First Submitted That Met QC Criteria

June 30, 2023

First Posted (Actual)

July 5, 2023

Study Record Updates

Last Update Posted (Actual)

July 5, 2023

Last Update Submitted That Met QC Criteria

June 30, 2023

Last Verified

June 1, 2023

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 01-UIS-HCG-2023

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

The public health system of Costa Rica avoid sharing clinical data with external centers.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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