An observational study in Valid MeSH Conditions, sponsored by Hospital del Mar. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-09.
Sponsored by Hospital del Mar · Observational
A "textbook outcome" patient is defined as one whose surgical course is uneventful, with no complications, readmissions, or mortality. There is a lack of published research regarding textbook outcomes with an acute appendicitis that are treated with an appendectomy.
The objective of this study is to analyze the attainment of textbook outcomes (TO) in patients undergoing urgent appendicectomy (UA) for acute appendicitis and to identify the factors associated with achieving TO.
419 studies on the registry are indexed under Appendicitis; 67 are open to participants now.
This study's planned enrollment of 500 is above the median of 200 across 151 observational studies indexed under Appendicitis.
Browse Appendicitis studies →Hospital del Mar is the lead sponsor of 45 studies on the registry; 17 are open to participants now.
Counted across the registry records on this site, refreshed daily.
All the admissions with diagnostic of Acute Appendicitis in an University Hospital
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Textbook Outcomes
Classical assessments, focused solely on mortality and morbidity, are increasingly considered insufficient. A more comprehensive approach, using composite measures, offers a more accurate evaluation, providing a multidimensional view and patient-centred healthcare appraisal. The textbook outcome (TO) is the most used objective composite measure to compare surgical quality across centres
Time frame: 2022-2024
Appendectomy in less than 24h
From diagnostic of Acute Appendicitus to Surgical Treatment should be less than 24h
Time frame: 2022-2024
Hospital Stay less than 5 days
Optimal hospital stay should be less than 5 days
Time frame: 2022-2024
Intraoperative incidences
Intraoperative bleeding, perforation of the appendix, iatrogenic injury to other structures
Time frame: 2022-2024
Short antibiotics treatment
Less than 72h of antibiotic treatment
Time frame: 2022-2024
Patient comorbidities
Charlson Comorbidity Index
Time frame: 2022-2024
Surgical Risk
ASA Scoring System
Time frame: 2022-2024
Intraoperative appendicitis gradding
AAST classification AAST I: Acutely inflamed appendix, intact. AAST II:Gangrenous appendix, intact AAST III:Above, with evidence of local contamination AAST IV:Above, with abscess or phlegmon in region of appendix AAST V:Above, with addition of generalized purulent contamination away from appendix WSES Classification: Grade- 0 (normal looking) Grade-1 (inflamed) Grade- 2A and 2B (necrosis) Grade- 3A - 3B - 3C (perforated - inflammatory tumor) Grade- 4 (perforate - diffuse peritonitis)
Time frame: 2022-2024
Postperative complications
Clavien Dindo and CCI (https://www.cci-calculator.com/) Grade I: Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic, and radiological interventions. Grade II:Requiring pharmacological treatment with drugs other than such allowed for Grade I Grade III:Requiring surgical, endoscopic or radiological intervention. Grade IV:Life-threatening complication (including CNS complications)\* requiring IC/ICU-management with single or multiorgan disfunction. Grade V: Death of a patient
Time frame: 2022-2024
Readmision index
Percentage of readmission
Time frame: 2022-2024
No study locations are listed for this record.
Plan to share: Yes
Supporting information: Study protocol
Time frame: 2025-2026
No publications or documents are linked to this record.
Start is estimated for Jan 2025; primary completion for Jan 2025, 0 months later.
How these figures are worked out, and which studies are left out of them.
This study is not yet recruiting, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.
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Hospital del Mar