Comparison of NOM for ACLD Between Medical and Surgical Ward
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorOspedali Riuniti Trieste
About this trial
In Europe, patients with acute left colon diverticulitis (ALCD) are usually admitted to surgical wards even when only medical treatment is required. The study compares ALCD non-operative management (NOM) between surgical and non-surgical environments regarding clinical outcomes, hospitalization length(LOS), and follow-up.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
patients affected by ALCD using a contrast-enhanced CT scan at admission undergoing NOM
Disqualifiers
immediate indication for surgery (i.e. patients with Hinchey III or IV ALCD or septic patients with Hinchey II)
Trial population
Patients affected by ALCD
Trial design
Design model
Cohort
Time perspective
Retrospective
Treatments tested in this trial
NOM
Other interventionNon-operative management (NOM) for ALCD consists of lab test monitoring, fluid therapy, antibiotic therapy, abscess drainage if \>4cm, restoring a regular diet
Treatment groups
175 Participants
are divided into 2 treatment groupsGroup A: Surgical Group (SG)1 intervention
Group B: Non-Surgical Group (NSG)1 intervention
Trial outcomes
Primary outcomes
1
Hospitalization length
Comparing patients with ACLD admitted for NOM to the surgical ward with those admitted to a non-surgical ward in terms of length of stay (LOS)
Time frame
one month after admissionSecondary outcomes
1
Follow-up and recurrences
Comparing patients with ACLD admitted for NOM to the surgical ward with those admitted to a non-surgical ward in terms of follow-up and ACLD recurrences
Time frame
two years after the admissionSponsors and contacts
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Source ClinicalTrials.gov