UMIN試験ID | UMIN000034455 |
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受付番号 | R000039274 |
科学的試験名 | |
一般公開日(本登録希望日) | 2018/10/12 |
最終更新日 | 2019/05/09 20:04:21 |
日本語
英語
VALIDATION OF POSSUM, P-POSSUM AND THE SURGICAL RISK SCALE IN SURGICAL AUDIT OF PATIENTS UNDERGOING MAJOR GENERAL SURGICAL OPERATIONS IN HARARE.
日本語
英語
VALIDATION OF POSSUM, P-POSSUM AND THE SURGICAL RISK SCALE IN AUDIT OF PATIENTS UNDERGOING MAJOR GENERAL SURGICAL OPERATIONS IN HARARE.
日本語
英語
VALIDATION OF POSSUM, P-POSSUM AND THE SURGICAL RISK SCALE IN SURGICAL AUDIT OF PATIENTS UNDERGOING MAJOR GENERAL SURGICAL OPERATIONS IN HARARE.
日本語
英語
VALIDATION OF POSSUM, P-POSSUM AND THE SURGICAL RISK SCALE IN AUDIT OF PATIENTS UNDERGOING MAJOR GENERAL SURGICAL OPERATIONS IN HARARE.
アフリカ/Africa |
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英語
Risk Scores
外科学一般/Surgery in general | 手術医学/Operative medicine |
悪性腫瘍以外/Others
いいえ/NO
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英語
To determine if there is any significant difference between calculated versus observed operative mortality and morbidity scores in Harare using POSSUM, P-POSSUM and SRS.
その他/Others
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英語
To determine which preoperative and intraoperative risk factors have the greatest impact on mortality and morbidity.
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Measuring actual 30 day Mortality and comparing it to the expected
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Measuring actual30 day morbidity and comparing it to the expected.
観察/Observational
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18 | 歳/years-old | 以上/<= |
適用なし/Not applicable |
男女両方/Male and Female
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All General Surgery patients aged 18 years and above undergoing a minimum of a major surgical procedure
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Patients below the age of 18 years.
Any patient managed conservatively.
Any patient operated by a registrar with less than 2 years of surgical training.
Day cases and any procedure categorised as minor.
More than 1 missing result.
Any patient requiring admission into a critical care unit post operatively but failed because of shortage of beds.
166
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名 | |
ミドルネーム | |
姓 |
英語
名 | Allan |
ミドルネーム | |
姓 | Ngulube |
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英語
University of Zimbabwe
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Department of Surgery
+263
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英語
University of Zimbabwe , College of Health Sciences, Box A178 Mazowe Street Avondale, Harare, Zimbabwe
+263773364652
drngulube@gmail.com
日本語
名 | |
ミドルネーム | |
姓 |
英語
名 | Allan |
ミドルネーム | |
姓 | Ngulube |
日本語
英語
University of Zimbabwe
日本語
英語
Department of Surgery
+263
日本語
英語
University of Zimbabwe , College of Health Sciences, Box A178 Mazowe Street Avondale, Harare, Zimbab
+263773364652
drngulube@gmail.com
日本語
その他
英語
Allan Ngulube
University of Zimbabwe
Department of Surgery
日本語
日本語
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英語
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その他
英語
Allan Ngulube
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自己調達/Self funding
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Zimbabwean
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Medical Research Council of Zimbabwe (MRCZ)
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Cnr Josiah Tongogara / Mazowe St. Harare Zimbabwe
+263784956128
mrcz@mrcz.org.zw
いいえ/NO
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Parirenyatwa Group Of Hospitals(Harare), Harare Central Hospital(Harare)
2018 | 年 | 10 | 月 | 12 | 日 |
N/A
最終結果が公表されている/Published
https://reader.elsevier.com/reader/sd/pii/S2049080119300196?token=6589675DFCBA53286DF99F1D74B8CCA802
201
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891kb
2019 | 年 | 05 | 月 | 09 | 日 |
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2019 | 年 | 03 | 月 | 24 | 日 |
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A prospective observational cohort study was done with a minimumsample size of 166 using the Dobson formula. The study was conductedat Parirenyatwa Group of Hospitals (PGH) and Harare Central Hospital(HCH) over a 9 month period from January to September of 2015. Thestudy included all consecutively admitted patients aged 18 years andabove undergoing at least a major general surgical procedure as definedby the British United Provident Association , with timing ranging from elective to emergency. Patients were excluded if below the age of18 years, if managed conservatively, if it was a day case or any pro-cedure categorized as minor and any case falling outside the scope ofgeneral surgery. Those also excluded were patients with more than 1 missing result or those requiring admission into a critical care unit postoperatively but failed because of shortage of beds and those operated by surgical trainees with less than 2 years experience.
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Using a predesigned data collection tool, results from investigations done immediately preoperatively plus operative findings and post op-erative histology were collected. Complications, as defined by Copeland et al, were recorded as observed by the attending surgeons with confirmatory tests where necessary. Patients were followed up for amonth in Outpatients Department (OPD) and a follow up phone call was done for those not available for review. The actual calculation for the risk scores was done with a computer program utilising the stated formulae . The calculated risk scores for individual patients were stratified according to magnitude then compared with the actual observed number of mortalities or morbidities in each category with Chi-Square as a test for significance at 95% significance. Regression analysis of risk factors contributing to mortality and morbidity was also done with appropriate calculations for significance testing using statistical software
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No adverse events accrued from participarting in the study as the study was observational
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Mortality and Morbidity related to the procedures the patients were going through were the outcome measures compared to the calculated mortality and morbidity
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試験終了/Completed
2015 | 年 | 01 | 月 | 13 | 日 |
2015 | 年 | 01 | 月 | 13 | 日 |
2015 | 年 | 01 | 月 | 14 | 日 |
2015 | 年 | 09 | 月 | 30 | 日 |
2015 | 年 | 10 | 月 | 15 | 日 |
2015 | 年 | 10 | 月 | 30 | 日 |
2016 | 年 | 01 | 月 | 31 | 日 |
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After a 30 day follow up in outpatients, 35 out of 181 patients had died of surgery related problems.
2018 | 年 | 10 | 月 | 12 | 日 |
2019 | 年 | 05 | 月 | 09 | 日 |
日本語
https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000039274
英語
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000039274
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