UK-based, multisite, prospective cohort study of small bowel obstruction in acute surgical services: National Audit of Small Bowel Obstruction (NASBO) protocol. Issue 10 (5th October 2017)

• Record Type: Journal Article
• Authors: Lee, Matthew J; Sayers, Adele E; Drake, Thomas M; Hollyman, Marianne; Bradburn, Mike; Hind, Daniel; Wilson, Timothy R; Fearnhead, Nicola S
• Other Names: Abercrombie John author non-byline.; Acheson Austin G author non-byline.; Alderson Derek author non-byline.; Anderson Iain author non-byline.; Bach Simon P author non-byline.; Davies Michael author non-byline.; Hamady Zaed author non-byline.; Hartley John author non-byline.; Northover John author non-byline.; Lewis Christopher author non-byline.; Marriott Paul author non-byline.; Maynard Nicholas author non-byline.; Mcfall Malcolm author non-byline.; Muraganathan Aravinth author non-byline.; Murray David author non-byline.; Singh Pritam author non-byline.; Tierney Gillian author non-byline.; Verjee Azmina author non-byline.; Walsh Ciaran author non-byline.; Wild Jonathan Rl author non-byline.
• Is Part Of: BMJ open. Volume 7:Issue 10(2017)
• Publication Date: 2017-10-05
• Subjects: Small bowel obstruction -- surgery -- nutrition; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2017-016796
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Introduction: Small bowel obstruction (SBO) is a common indication for emergency laparotomy in the UK, which is associated with a 90-day mortality rate of 13%. There are currently no UK clinical guidelines for the management of this condition. The aim of this multicentre prospective cohort study is to describe the burden, variation in management and associated outcomes of SBO in the UK adult population. Methods and analysis: UK hospitals providing emergency general surgery are eligible to participate. This study has three components: (1) a clinical preference questionnaire to be completed by consultants providing emergency general surgical care to assesses preferences in diagnostics and therapeutic approaches, including laparoscopy and nutritional interventions; (2) site resource profile questionnaire to indicate ease of access to diagnostic services, operating theatres, nutritional support teams and postoperative support including intensive care; (3) prospective cohort study of all cases of SBO admitted during an 8-week period at participating trusts. Data on diagnostics, operative and nutritional interventions, and in-hospital mortality and morbidity will be captured, followed by data validation. Ethics and dissemination: This will be conducted as a national audit of practice in conjunction with trainee research collaboratives, with support from patient representatives, surgeons, anaesthetists, gastroenterologists and a clinical trials unit. Site-specific reports will be provided to each participant site as well as an overall report to be disseminated through specialist societies. Results will be published in a formal project report endorsed by stakeholders, and in peer-reviewed scientific reports. Key findings will be debated at a focused national meeting with a view to quality improvement initiatives.