A Retrospective Study of the Feasibility of Ambulatory Appendicectomy for Acute Appendicitis (Based on Data From the PMSI French National Hospital Information System) in the Adults Hospitalized Between December 2013 and December 2014

NCT02894086 | Withdrawn

• 1 other identifier: RNI2015-35 Pr-REGIMBEAU-2
• Study Type: observational
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

Acute appendicitis is a frequent surgical emergency, with an estimated incidence of about 80,000 cases a year (in France). It mainly affects young adults but is associated with a low complication rate and a short stay in hospital. Ambulatory treatment is an innovative type of care in which the patient is hospitalized for less than 12 hours and does not stay overnight in hospital. Ambulatory care is based on the guidelines issued by three French learned societies (the SFCD, the ACHBT and the AFCA) and has been defined by the French government as a national priority. The literature data show that 20% of patients undergoing appendicectomy for acute appendicitis can be treated on an ambulatory basis. However, the success factors for short-stay care (hospitalization \<24 hours) or ambulatory care (hospitalization \<12 hours) have yet to be identified. The investigators thus intend to perform a retrospective study of data from the PMSI French national hospital information system, in order to identify factors that are predictive of a length of hospital stay below 24 hours in patients having undergone appendicectomy for acute appendicitis during 2013 in France. The objective is to define the population of patients that could potentially benefit from ambulatory care.

Conditions

Appendicitis

Keywords

acute appendicitis; ambulatory appendicectomy

Outcome Measures

Primary Outcomes (1)

• identify the population of patients having been hospitalized for less than 24 hours.

  The ICD-10 diagnostic codes for acute appendicitis, stored in the PMSI.

  during 1 year (from december 2013 to december 2014)

Interventions

database. OTHER

database

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients operated on for acute appendicitis between December 2013 and December 2014

You may qualify if:

• Medical criteria:
• Patients operated on for acute appendicitis between December 2013 and December 2014
• Sociodemographic criteria:
• Adult patients (aged between 18 and 75, inclusive)
• Social security coverage

You may not qualify if:

• Sociodemographic criteria:
• Patients under the age of 18
• Pregnancy or breastfeeding
• Legal guardianship or incarceration

Sponsors & Collaborators

• Centre Hospitalier Universitaire, Amiens: lead

Study Sites (1)

CHU Amiens

Amiens, 80054, France

Location

MeSH Terms

Conditions

Appendicitis

Interventions

Database Management Systems

Condition Hierarchy (Ancestors)

Intraabdominal Infections; Infections; Gastroenteritis; Gastrointestinal Diseases; Digestive System Diseases; Cecal Diseases; Intestinal Diseases

Intervention Hierarchy (Ancestors)

Management Information Systems; Organization and Administration; Health Services Administration

Study Officials

• REGIMBEAU Jean-Marc, MD, PhD

  CHU Amiens

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 5, 2016
• First Posted: September 9, 2016
• Study Start: December 13, 2017
• Primary Completion: December 13, 2017
• Study Completion: December 13, 2017
• Last Updated: July 15, 2020

Record last verified: 2020-07

Locations

FR (1)