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Three routine numbers may reveal who needs ICU after emergency surgery

NCT ID NCT07814131

Diagnosis Sponsor: King Edward Medical University Source: ClinicalTrials.gov ↗

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This trial is taking on new participants right now.
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Cancelled before anyone took part.

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First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time

Summary

Researchers at Mayo Hospital Lahore are studying whether the Surgical Apgar Score can identify patients who need direct admission to the intensive care unit after emergency abdominal surgery. The score uses three factors recorded during surgery: estimated blood loss, lowest mean arterial pressure, and lowest heart rate. The study includes patients aged 13 to 89 undergoing emergency exploratory laparotomy for conditions such as perforation, obstruction, or abdominal trauma. By comparing ICU admission rates between patients with low and high scores, the team aims to see whether this simple tool can guide postoperative care decisions.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

What this could lead to
If the score works, surgeons could use routine operating-room numbers to flag patients who need intensive care right after emergency abdominal surgery, which may speed up decisions about where patients recover.
What could go wrong
This is a small observational study at one hospital, so the findings may not apply elsewhere. The score can only show an association, not prove that it causes or reliably predicts ICU needs.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Participants

About 77 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Aug 2026

An estimate. Start dates often move.

Expected to finish

Nov 2026

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

Patients presenting to Mayo Hospital Lahore who undergo emergency exploratory laparotomy for emergency general surgery pathology will be enrolled consecutively. Eligible participants will include males and females aged 13-89 years undergoing emergency laparotomy within 8 hours of surgical evaluation. The study population will include patients undergoing laparotomy for conditions such as gastrointestinal perforation, intestinal obstruction, intra-abdominal sepsis, ischemia, and blunt or penetrating abdominal trauma. The Surgical Apgar Score will be calculated immediately after surgery using estimated blood loss, lowest intraoperative mean arterial pressure, and lowest intraoperative heart rate. Patients will subsequently be classified according to direct postoperative ICU admission.

Ages

13 to 89 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Male and female patients aged 13 to 89 years. Patients undergoing emergency exploratory laparotomy at Mayo Hospital Lahore for an emergency general surgery indication. Patients 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. Patients who provide informed consent for participation. Exclusion Criteria: * Patients transferred from another emergency institution when more than 8 hours have elapsed since initial presentation. Patients who do not undergo emergency exploratory laparotomy. Patients who do not have sufficient intraoperative data to calculate the Surgical Apgar Score. Patients for whom postoperative disposition to ICU or another postoperative location cannot be determined.

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Conditions

The condition(s) this trial relates to.

intestinal obstruction ischemic bowel disorder

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Emergency general surgery laparotomy

How to take part

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  1. The places running it

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  2. The official record

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Contacts and locations

Locations

  • Mayo Hospital Lahore

    Lahore, Punjab Province, 54000, Pakistan

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