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Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study

BMJ open, 2024-04, Vol.14 (4), p.e083135-e083135 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. ;2024 Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. 2024 ;ISSN: 2044-6055 ;EISSN: 2044-6055 ;DOI: 10.1136/bmjopen-2023-083135 ;PMID: 38580358

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Title:
Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study
Author: Bath, Michael F ; Kohler, Katharina ; Hobbs, Laura ; Smith, Brandon George ; Clark, David J ; Kwizera, Arthur ; Perkins, Zane ; Marsden, Max ; Davenport, Ross ; Davies, Justin ; Amoako, Joachim ; Moonesinghe, Ramani ; Weiser, Thomas ; Leather, Andy J M ; Hardcastle, Timothy ; Naidoo, Ravi ; Nördin, Yannick ; Conway Morris, Andrew ; Lakhoo, Kokila ; Hutchinson, Peter John ; Bashford, Tom
Subjects: Abdomen ; Abdominal Injuries - surgery ; Adolescent ; Data collection ; Epidemiology ; health services ; Hospitals ; Humans ; Injuries ; Laparoscopy ; Laparotomy ; Laparotomy - methods ; Mortality ; Multicenter Studies as Topic ; Observational Studies as Topic ; observational study ; Patients ; Postoperative period ; Prospective Studies ; Retrospective Studies ; Statistical analysis ; Surgery ; Trauma ; Trauma care ; Wounds, Penetrating - surgery ; Young Adult
Is Part Of: BMJ open, 2024-04, Vol.14 (4), p.e083135-e083135
Description: IntroductionTrauma 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.MethodsWe 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.DiscussionThe 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.
Publisher: England: British Medical Journal Publishing Group
Language: English
Identifier: ISSN: 2044-6055
EISSN: 2044-6055
DOI: 10.1136/bmjopen-2023-083135
PMID: 38580358
Source: ProQuest One Psychology
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Evaluating patient factors, operative management and postoperative outcomes in trauma laparotomy patients worldwide: a protocol for a global observational multicentre trauma study

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