The SMASH standardised perioperative management protocol is currently being evaluated in an ongoing cohort study that has included 404 patients so far, with no clinical outcomes yet available.
Cohort (n=404)
No
Does protocol-based standardised perioperative management improve short- and long-term mortality and postoperative complications in adult patients requiring acute abdominal surgery?
This methodology paper describes an ongoing prospective cohort study evaluating whether a standardized perioperative protocol improves outcomes in acute abdominal surgery compared to a retrospective control group.
OBJECTIVE OF THE STUDY: Emergency laparotomy and other high-risk acute abdominal surgery procedures have a high mortality rate. The perioperative management of these patients is complex and poses several challenges. The objective of the study is to implement and evaluate the outcome of protocol-based standardised care for patients in need of acute abdominal surgery in a Swedish setting. NÄL is a large county hospital in Sweden serving a population of approximately 270,000 inhabitants. The study seeks to determine whether standardised protocol-based perioperative management in emergency abdominal surgical procedures leads to a better outcome measured as short- and long-term mortality and postoperative complications compared with the present standard in Swedish routine care. The study is ongoing, and this article describes the methodology used in the study and discusses the benefits and limitations the study design. RESULTS: There are no results so far. The inclusion rate for the first 22 months is as expected; 404 patients have been included and protocols have been followed and reviewed according to the study plan. 25 patients have been missed and demographic data and outcome data for these patients will be collected and analysed.
Timan et al. (Tue,) conducted a cohort in Acute abdominal surgery (n=404). Standardised perioperative management protocol (SMASH) vs. Retrospective standard care was evaluated on Short- and long-term mortality and postoperative complications. The SMASH standardised perioperative management protocol is currently being evaluated in an ongoing cohort study that has included 404 patients so far, with no clinical outcomes yet available.