Impact of Implementing a National Classification of Surgical Emergencies on Postoperative Morbidity and Mortality: a Prospective Multicenter Observational Study After Implementation.

NCT07317635 | Not Yet Recruiting

• 1 other identifier: 2025-14
• Study Type: observational
• Target: 2,500
• Locations: 1 country
• Sites: 1

Brief Summary

The ACUTE committee of the French Society of Anesthesia and Intensive Care (SFAR), in consultation with surgical societies, has developed a national classification of surgical emergencies to define the ideal time to surgery for each indication. The goal is to integrate this classification with a cognitive aid to improve patient triage and reduce waiting times for emergency surgery. This classification will be presented at the 2026 SFAR Congress and as a practical decision-making tool. A prospective, multicenter study will then evaluate its impact by measuring the rate of severe postoperative complications at 30 days using the Comprehensive Complication Index (CCI). The study will include 2500 patients over two-week periods between February and June 2027. Expected benefits include reduced patient morbidity and hospital stay, along with better emergency surgery planning and standardization across healthcare centers.

Conditions

Surgical Emergencies

Outcome Measures

Primary Outcomes (1)

• Postoperative morbidity and mortality

  Postoperative morbidity and mortality assessed using the Clavien-Dindo score and expressed on a continuous scale by the Comprehensive Complication Index (CCI) at 30 days (D30)Day 30

  At Day 30after surgery

Study Arms (2)

Before integration of classification of surgical emergencies

Before integration of classification of surgical emergencies

After integration of classification of surgical emergencies

After integration of a classification of surgical emergencies with a cognitive aid

Other: Implementation of classification of surgical emergencies

Interventions

Implementation of classification of surgical emergencies OTHER

Observation of practices prior and after implementation of classification of surgical emergencies

After integration of classification of surgical emergencies

Eligibility Criteria

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

Study Population

Adults under legal protection (guardianship, curatorship, or judicial safeguard) Patients who object to the reuse of their personal data for research purposes

You may qualify if:

• Adults (≥18 years) undergoing non-cardiac emergency surgery, defined as surgery with a preoperative anesthetic consultation performed less than 48 hours before the surgical procedure.
• Patient managed in a University Hospital (Centre Hospitalo-Universitaire) or General Hospital (Centre Hospitalier Général).
• Patients must receive initial management and diagnosis in the emergency department of the investigating center.

Sponsors & Collaborators

• Société Française d'Anesthésie et de Réanimation: lead

Study Sites (1)

CHU Amiens-Picardie

Amiens, France

Location

Central Study Contacts

Stephane BAR, MD

CONTACT

+333.22.08.79.06; Bar.Stéphane@chu-amiens.fr

Study Design

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

Study Record Dates

• First Submitted: December 19, 2025
• First Posted: January 5, 2026
• Study Start: February 2, 2026
• Primary Completion (Estimated): June 30, 2027
• Study Completion (Estimated): June 30, 2027
• Last Updated: January 5, 2026

Record last verified: 2025-12

Locations

FR (1)