An interventional study of Practice guidelines for primary care of acute abdomen and No intervention in Practice Guidelines for Primary Care of Acute Abdomen, sponsored by University of Bergen. Recruiting at 1 site in Zambia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-14.
Sponsored by University of Bergen · Not applicable, Interventional, and Health services research
The study aims 1) to adapt, 2) to develop implementation strategies for and 3) to evaluate the effect of implementing a practice guideline for acute abdomen at primary care level in Zambia. We employ a sequential exploratory mixed method study design. Qualitative and quantitative data from health care workers will be used to adapt a practice guideline developed in a high-income into a low- and middle-income (LMIC) context and to develop strategies for successful implementation. The primary outcome of interest is the prospective change in length of stay in hospital among patients presenting with acute abdomen in the intervention site compared to the control site. The study will address the scarcity of literature on practice guidelines for acute abdomen in the LMIC context. The implementation of an adapted guideline may contribute to a reduction of the morbidity and mortality rates associated with acute abdomen in this setting by increasing management capacity at the primary care level.
65 studies on the registry are indexed under Abdomen, Acute; 14 are open to participants now.
This study's planned enrollment of 280 is above the median of 188 across 26 interventional studies indexed under Abdomen, Acute.
Browse Abdomen, Acute studies →University of Bergen is the lead sponsor of 143 studies on the registry; 19 are open to participants now.
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Exclusion Criteria:
The intervention site will have the guidelines for acute abdomen implemented
Other: Practice guidelines for primary care of acute abdomen
The control site will not have the guidelines implemented
Other: No intervention
Adjusted practice guidelines for primary care of acute abdomen will be implemented at the intervention site.
The control site will receive no intervention.
Length of Hospital Stay
The duration of time in days that a patient with acute abdomen stays in the hospital from the day of admission to discharge
Time frame: 7 days
Plan to share: Yes
Supporting information: Study protocol
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