Clinical Pathway With Fast-Track In Uncomplicated Acute Appendicitis

Study Overview
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Brief Summary
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The aim of this study is to reduce the postoperative hospital stay, without increasing morbidity and mortality postoperative, expressed in terms of rate of complications and readmissions.

Official Title
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Prospective Randomised Study Comparing Clinical Pathway With Fast-Track Versus Usual Protocol In Uncomplicated Acute Appendicitis

Conditions
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Uncomplicated Acute Appendicitis

Intervention / Treatment
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* Other: Clinical Pathway with Fast-Track
* Other: Postoperative Usual Protocol


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients diagnosed with uncomplicated acute appendicitis urgently. Signing the consent of participation and commitment to attend reviews. Exclusion Criteria: Suspected liver disease. Coagulation disorders. Patients in septic shock. Pregnant patients. Patients with symptoms compatible with acute uncomplicated appendicitis (plastron appendix, perforated appendicitis or diffuse peritonitis), or had 5 to more days of evolution). No sign consent for participation in it.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Clinical Pathway With Fast-Track<br>All the clinical performances that the health personal have to do about the patient with uncomplicated acute appendicitis is already established in a care maps since the patient comes to hospital until the discharge. | Other: Clinical Pathway with Fast-Track<br>* Care described in the critical pathway during postoperative like the moment when the patients can eat, can move or are discharged.<br>|
| Active Comparator: Postoperative Usual Protocol<br>The postoperative time and the clinical cares in patients with uncomplicated acute appendicitis, are defined by responsability sugery as he thinks he should be according to the literature. | Other: Postoperative Usual Protocol<br>* Cares step by step as sugery responsable thinks are the best for patients until discharge.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative Hospital Stay | Measure the time from when the patient leaves the operating room until discharge | From the first moment after surgery within 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Overall satisfaction (Study the degree of satisfaction that the patient has received assistance as) | Study the degree of satisfaction that the patient has received assistance as | From the first moment after surgery within 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Acute Appendicitis, Appendectomy, Fast-Track, Clinical Pathway