Abstract
AIM: Use of open abdomen (OA) remains an important life-saving manoeuvre in the management of trauma and the abdominal catastrophe. The National Open Abdomen Audit (NOAA) is an audit project investigating the indications, management, and subsequent outcomes of OA treatment throughout the UK. The aim is to generate a snapshot of practice which will inform the management of future patients and potentially reduce the significant harm that can be associated with OA.
METHODS AND ANALYSIS: NOAA is a collaborative, prospective observational audit recruiting patients from across Great Britain and Ireland. The study will open from July 2023 with rolling recruitment across participating sites. All adult patients who leave theatre with an OA will be included and followed-up for 90 days. The primary objective is to prospectively audit the national variability in the management of the OA. Secondary outcomes include the treatment modality used for OA, indication, outcome of treatment and complications, including mortality and development of intestinal failure. All data will be recorded and managed using the secure REDCap electronic data capture and analysed using Stata (version 16.1). Results will be reported in accordance with the STROBE statement.
CONCLUSION: Results will be used to formulate a practical clinical guideline on when to implement an OA along with a stepwise management plan once initiated to reduce the associated morbidity and mortality. It is hoped that participation in this study will facilitate education of surgeons with a "trickle down" effect on all members of the surgical team and remove variability in the management.
METHODS AND ANALYSIS: NOAA is a collaborative, prospective observational audit recruiting patients from across Great Britain and Ireland. The study will open from July 2023 with rolling recruitment across participating sites. All adult patients who leave theatre with an OA will be included and followed-up for 90 days. The primary objective is to prospectively audit the national variability in the management of the OA. Secondary outcomes include the treatment modality used for OA, indication, outcome of treatment and complications, including mortality and development of intestinal failure. All data will be recorded and managed using the secure REDCap electronic data capture and analysed using Stata (version 16.1). Results will be reported in accordance with the STROBE statement.
CONCLUSION: Results will be used to formulate a practical clinical guideline on when to implement an OA along with a stepwise management plan once initiated to reduce the associated morbidity and mortality. It is hoped that participation in this study will facilitate education of surgeons with a "trickle down" effect on all members of the surgical team and remove variability in the management.
| Original language | English |
|---|---|
| Pages (from-to) | 1512-1518 |
| Number of pages | 7 |
| Journal | Colorectal Disease |
| Volume | 25 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - 21 Jul 2023 |
Bibliographical note
Funding information:This study has been funded by Bowel Research UK. The study will be coordinated via Birmingham Centre for Observational and Prospective Studies (BiCOPS) who will provide material and technological support. Participating centres will not bear any costs for being part of this audit. Similarly, no financial reimbursement will be made to units or investigators for their involvement. The sponsor for NOAA is the Salford Royal NHS Foundation Trust. Neither the funder nor the sponsor have had any input in the design of the study or data analysis.
Keywords
- damage control laparotomy
- fascial closure
- intestinal failure
- intestinal fistula
- negative pressure wound therapy
- open abdomen
- peritonitis