Effect of Implementing Post Operative Enhanced Recovery on Perforated Peptic Ulcer Surgery Outcomes
NCT Number: NCT06570018
Status: COMPLETED
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Emergent Surgery|Perforated Peptic Ulcer
Interventions: PROCEDURE: Post operative enhanced recovery elements
Sponsor: Assiut University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 60
Study Design: Allocation: NON_RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: SUPPORTIVE_CARE
Start Date: 2023-10-01
Completion Date: 2024-08-15
Locations: Faculty of Nursing, Assiut, 71111, Egypt

Summary:
This study aimed to evaluate the effect of implementing post operative enhanced recovery on perforated peptic ulcer surgery outcome.

The current study anticipated better outcomes in the form of early functional recovery, reduced length of hospital stays, less thirty days post operative morbidity, and better gastrointestinal quality of life after implementing post operative enhanced recovery in patients with perforated peptic ulcer.

Primary Outcome Measures: Gastrointestinal functional recovery (first bowel movement), Tool; Patient assessment sheet

* It was developed by researchers based on literatures review to assess postoperative clinical data (part 2) as gastrointestinal functional recovery (first bowel movement) through physical examination.
* The mean score of time for two groups was compared, Within the first 24 hours postoperative or more|Gastrointestinal functional recovery(first flatus passage), Tool; Patient assessment sheet

* It was developed by researchers based on literatures review to assess postoperative clinical data (part 2) as gastrointestinal functional recovery (first flatus passage) through physical examination.

the mean score of time for two groups was compared, Within the first 24 hours postoperative or more|Gastrointestinal functional recovery(first stool passage), Tool; Patient assessment sheet

- It was developed by researchers based on literatures review to assess postoperative clinical data (part 2) as gastrointestinal functional recovery (first stool passage) postoperative.through health history.

The mean score of time for two groups was compared, First stool passage within three days postoperative or more|postoperative complications, post operative complications included complications that occured within 30- days post operative. Every patient had been assessed for developing pneumonia, admission to critical care, abdominal collection, intra-abdominal abscess, suture leakage, omental patch leakage, septic shock, prolonged ileus, surgical site infection, urinary tract infection, deep venous thrombosis (DVT), and reoperation, Immediately post operative up to thirty days postoperative|Legnth of hospital stay, Hospitalization duration from admission up to discharge Mean score of days for two groups will be compared., seven days up to two weeks
Secondary Outcome Measures: gastrointestinal quality of life, gastrointestinal quality of life was evaluated for all patients before discharge and after thirty days postoperative using Gastrointestinal quality of life index (Eypasch, 1993).

It is a 36-item scale divided into five domains; GIT symptoms (10 items), physical (6 items), emotion (6 items), social (2 items) and disease specific (8 items) Cronbach's alpha was 0.89

Scoring:

Each item is based on a 0-4 Likert scale with 0 being least desirable to 4 being the most desirable option. The total scores represent Gastrointestinal Quality of Life Index. It ranges from 0 to 144 with higher scores indicating a better quality of life, Before hospital dicharge and after thirty days postoperative