[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"emergency-general-surgery-laparotomy\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:emergency-general-surgery-laparotomy":26},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":4,"briefSummary":24,"conditions":25,"keywords":27,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":36,"lastUpdatePostDateStruct":37,"startDateStruct":40,"completionDateStruct":42,"leadSponsor":44,"locationsCount":5},"100655549","surgical-apgar-score-for-identifying-patients-who-may-need-intensive-care-after-emergency-abdominal-surgery-100655549",false,"NCT07814131","Surgical Apgar Score for Identifying Patients Who May Need Intensive Care After Emergency Abdominal Surgery","Surgical Apgar Score Predicts ICU Admission After Emergency General Surgery Laparotomy","SAS-ICU","Inclusion Criteria:\n\n* Male and female patients aged 13 to 89 years. Patients undergoing emergency exploratory laparotomy at Mayo Hospital Lahore for an emergency general surgery indication.\n\nPatients undergoing laparotomy within 8 hours of surgical evaluation. Patients with emergency general surgery pathologies including gastrointestinal perforation, intestinal obstruction, ischemia, intra-abdominal sepsis, and blunt or penetrating abdominal trauma.\n\nPatients who provide informed consent for participation.\n\nExclusion Criteria:\n\n* Patients transferred from another emergency institution when more than 8 hours have elapsed since initial presentation.\n\nPatients who do not undergo emergency exploratory laparotomy. Patients who do not have sufficient intraoperative data to calculate the Surgical Apgar Score.\n\nPatients for whom postoperative disposition to ICU or another postoperative location cannot be determined.","ALL","13 Years","89 Years",{"count":21,"type":22},77,"ESTIMATED","OBSERVATIONAL","This prospective observational study will evaluate whether the Surgical Apgar Score can help identify patients who require direct admission to the intensive care unit after emergency abdominal surgery. The study will include patients aged over 12 and under 90 years undergoing emergency exploratory laparotomy at Mayo Hospital Lahore. The Surgical Apgar Score will be calculated immediately after surgery using three routinely recorded intraoperative factors: estimated blood loss, lowest mean arterial pressure, and lowest heart rate. Patients will be categorized into low Surgical Apgar Score (≤7) and high Surgical Apgar Score (\\>7) groups. The frequency of direct intensive care unit admission will be compared between the two groups to determine whether a low Surgical Apgar Score is associated with increased need for postoperative intensive care.",[26],"Emergency General Surgery Laparotomy",[28,29,30,31,32,33,34],"Surgical Apgar Score","Emergency General Surgery","Emergency Laparotomy","Exploratory Laparotomy","Intensive Care Unit Admission","Postoperative ICU Admission","Surgical Risk Assessment","NOT_YET_RECRUITING","2026-09-06",{"date":38,"type":39},"2026-09-10","ACTUAL",{"date":41,"type":22},"2026-08-24",{"date":43,"type":22},"2026-11-24",{"name":45,"class":46},"King Edward Medical University","OTHER"]