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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.
Angeline
Price
angeline.price@nca.nhs.uk
Fatma
Rumash
Fatma.Rumash@nca.nhs.uk
Angeline
Price
angeline.price@nca.nhs.uk
Angeline
Price
angeline.price@nca.nhs.uk
Symptoms and signs involving the digestive system and abdomen
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Background
Emergency laparotomy is a big operation to open the abdomen. Older people are more likely to require emergency laparotomy but are at greater risk of adverse outcomes including death,especially if they are identified as frail on the Rockwood Clinical Frailty Scale (CFS)1,2,3. Current evidence focusses on clinical outcomes and follow up often ceases at 90-days. Longer-term outcomes are less well understood,and there is a paucity of research into patient experience following emergency laparotomy. No literature exists to inform holistic postoperative care that meets both patient need and expectation. As the average population age increases,the number of older people requiring emergency laparotomy will continue to rise4. There is an urgent need for a more comprehensive understanding of the impact of emergency laparotomy for older,frail people,to design effective,patient-centred services for this vulnerable group 5-8.
Aim
To develop a comprehensive understanding of the lived experience following emergency laparotomy for people living with frailty
Methods
Phase one: 20- 30 participants aged 65 years and over with a CFS of 5+ who have undergone emergency laparotomy will be identified from a minimum of 11 hospital sites across the UK using maximum-variation purposive sampling. Semi-structured interviews will be undertaken at 3 weeks from the date of surgery. Reflexive thematic analysis will be used to identify key themes relating to the recovery process and patient perception of success.
Phase two: 12 participants aged 65 years and over and living with mild to moderate frailty (CFS of 5 or 6) will be identified from hospital sites within the Greater Manchester region to undertake semi-structured interviews at 3,6 and 12-months. Longitudinal Interpretative Phenomenological Analysis will be used to develop an in-depth understanding of lived experience in the 12 months following surgery.
Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.
The recruitment start and end dates are as follows:
Observational type: Qualitative;
You can take part if:
You may not be able to take part if:
Patients undergoing a procedure that does not meet the definition of emergency laparotomy2 • < 65 years of age – (CFS use not validated in this group) • No documented CFS • Unable,or does not wish,to give consent Phase Two As above,but with the additional criteria • A Clinical Frailty Scale (CFS) score of < 5 or > 6 • Procedure returning to theatre for any major post-operative complication/dehiscence following an elective operation • A new diagnosis of cancer (made as a result of diagnostic investigation or intra-operative findings)
Below are the locations for where you can take part in the trial. Please note that not all sites may be open.
Angeline
Price
angeline.price@nca.nhs.uk
Angeline
Price
angeline.price@nca.nhs.uk
Fatma
Rumash
Fatma.Rumash@nca.nhs.uk
Angeline
Price
angeline.price@nca.nhs.uk
The study is sponsored by NORTHERN CARE ALLIANCE NHS FOUNDATION TRUST and funded by NIHR Academy .
Your feedback is important to us. It will help us improve the quality of the study information on this site. Please answer both questions.
Read full details
for Trial ID: CPMS 54356
You can print or share the study information with your GP/healthcare provider or contact the research team directly.
