Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study
Introduction Trauma contributes to the greatest loss of disability-adjusted life-years for adolescents and young adults worldwide. In the context of global abdominal trauma, the trauma laparotomy is the most commonly performed operation. Variation likely exists in how these patients are managed and...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-04-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/4/e083135.full |
| _version_ | 1797221227491753984 |
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| author | Michael F Bath Justin Davies Andy J M Leather Tom Bashford Ramani Moonesinghe Kokila Lakhoo Katharina Kohler Ross Davenport Arthur Kwizera Andrew Conway Morris Max Marsden Joachim Amoako Brandon George Smith Peter John Hutchinson David J Clark Thomas Weiser Timothy Hardcastle Zane Perkins Laura Hobbs Ravi Naidoo Yannick Nördin |
| author_facet | Michael F Bath Justin Davies Andy J M Leather Tom Bashford Ramani Moonesinghe Kokila Lakhoo Katharina Kohler Ross Davenport Arthur Kwizera Andrew Conway Morris Max Marsden Joachim Amoako Brandon George Smith Peter John Hutchinson David J Clark Thomas Weiser Timothy Hardcastle Zane Perkins Laura Hobbs Ravi Naidoo Yannick Nördin |
| author_sort | Michael F Bath |
| collection | DOAJ |
| description | Introduction Trauma contributes to the greatest loss of disability-adjusted life-years for adolescents and young adults worldwide. In the context of global abdominal trauma, the trauma laparotomy is the most commonly performed operation. Variation likely exists in how these patients are managed and their subsequent outcomes, yet very little global data on the topic currently exists. The objective of the GOAL-Trauma study is to evaluate both patient and injury factors for those undergoing trauma laparotomy, their clinical management and postoperative outcomes.Methods We describe a planned prospective multicentre observational cohort study of patients undergoing trauma laparotomy. We will include patients of all ages who present to hospital with a blunt or penetrating injury and undergo a trauma laparotomy within 5 days of presentation to the treating centre. The study will collect system, patient, process and outcome data, following patients up until 30 days postoperatively (or until discharge or death, whichever is first). Our sample size calculation suggests we will need to recruit 552 patients from approximately 150 recruiting centres.Discussion The GOAL-Trauma study will provide a global snapshot of the current management and outcomes for patients undergoing a trauma laparotomy. It will also provide insight into the variation seen in the time delays for receiving care, the disease and patient factors present, and patient outcomes. For current standards of trauma care to be improved worldwide, a greater understanding of the current state of trauma laparotomy care is paramount if appropriate interventions and targets are to be identified and implemented. |
| first_indexed | 2024-04-24T13:02:05Z |
| format | Article |
| id | doaj.art-a428b5b89d0a43a9adcadaca45eb6862 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-24T13:02:05Z |
| publishDate | 2024-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-a428b5b89d0a43a9adcadaca45eb68622024-04-05T10:40:09ZengBMJ Publishing GroupBMJ Open2044-60552024-04-0114410.1136/bmjopen-2023-083135Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma studyMichael F Bath0Justin Davies1Andy J M Leather2Tom Bashford3Ramani Moonesinghe4Kokila Lakhoo5Katharina Kohler6Ross Davenport7Arthur Kwizera8Andrew Conway Morris9Max Marsden10Joachim Amoako11Brandon George Smith12Peter John Hutchinson13David J Clark14Thomas Weiser15Timothy Hardcastle16Zane Perkins17Laura Hobbs18Ravi Naidoo19Yannick Nördin20International Health Systems Group, Department of Engineering, University of Cambridge, Cambridge, UKCambridge University Hospitals NHS Foundation Trust, Cambridge, UKSchool of Life Course and Population Sciences, King`s College London, London, UKHealthcare Design Group, Department of Engineering, University of Cambridge, Cambridge, UKAnaesthesia and Critical Care, University College London Hospitals NHS Foundation Trust, London, UK32 Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UKUniversity Division of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge, UKCentre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, UKcritical care physicianUniversity Division of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge, UKCentre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, UKDepartment of Surgery, Korle Bu Teaching Hospital, Accra, GhanaUniversity of Cambridge, NIHR Global Health Research Group on Neurotrauma, Cambridge, UKDepartment of Neurosurgery, University of Cambridge, Cambridge, UKDivision of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UKDepartment of Surgery, Stanford University, Palo Alto, California, USADepartment of Surgical Sciences, Mandela School of Medicine (NRMSM), University of KwaZulu-Natal, Durban, South AfricaCentre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, UK1Consultant Anaesthetist, East and North Hertfordshire NHS TrustDepartment of Surgery, Ngwelezana Hospital, Empangeni, South AfricaEmergency Medical Care System (SAMU), Jalisco State, MexicoIntroduction Trauma contributes to the greatest loss of disability-adjusted life-years for adolescents and young adults worldwide. In the context of global abdominal trauma, the trauma laparotomy is the most commonly performed operation. Variation likely exists in how these patients are managed and their subsequent outcomes, yet very little global data on the topic currently exists. The objective of the GOAL-Trauma study is to evaluate both patient and injury factors for those undergoing trauma laparotomy, their clinical management and postoperative outcomes.Methods We describe a planned prospective multicentre observational cohort study of patients undergoing trauma laparotomy. We will include patients of all ages who present to hospital with a blunt or penetrating injury and undergo a trauma laparotomy within 5 days of presentation to the treating centre. The study will collect system, patient, process and outcome data, following patients up until 30 days postoperatively (or until discharge or death, whichever is first). Our sample size calculation suggests we will need to recruit 552 patients from approximately 150 recruiting centres.Discussion The GOAL-Trauma study will provide a global snapshot of the current management and outcomes for patients undergoing a trauma laparotomy. It will also provide insight into the variation seen in the time delays for receiving care, the disease and patient factors present, and patient outcomes. For current standards of trauma care to be improved worldwide, a greater understanding of the current state of trauma laparotomy care is paramount if appropriate interventions and targets are to be identified and implemented.https://bmjopen.bmj.com/content/14/4/e083135.full |
| spellingShingle | Michael F Bath Justin Davies Andy J M Leather Tom Bashford Ramani Moonesinghe Kokila Lakhoo Katharina Kohler Ross Davenport Arthur Kwizera Andrew Conway Morris Max Marsden Joachim Amoako Brandon George Smith Peter John Hutchinson David J Clark Thomas Weiser Timothy Hardcastle Zane Perkins Laura Hobbs Ravi Naidoo Yannick Nördin Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study BMJ Open |
| title | Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study |
| title_full | Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study |
| title_fullStr | Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study |
| title_full_unstemmed | Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study |
| title_short | Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study |
| title_sort | evaluating patient factors operative management and postoperative outcomes in trauma laparotomy patients worldwide a protocol for a global observational multicentre trauma study |
| url | https://bmjopen.bmj.com/content/14/4/e083135.full |
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