Can a recovery checklist help appendix patients go home sooner?
NCT ID NCT07401407
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study observed 193 adults who had emergency laparoscopic appendix surgery for uncomplicated appendicitis. Researchers wanted to see how closely hospitals followed a specific recovery plan called RICA (an ERAS pathway) and whether early discharge within 24 hours was safe and feasible. They collected data on complications, hospital stay length, readmissions, and patient satisfaction, without changing any usual care.
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
-
193 people
The number who actually took part.
- Started
-
Dec 2022
- Finished
-
Feb 2025
- Lead sponsor
-
A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adults aged 18-75 years undergoing urgent laparoscopic appendectomy for uncomplicated acute appendicitis in participating hospitals. The study evaluates adherence to the RICA (ERAS Zaragoza 2022) pathway in routine clinical practice, early discharge feasibility (8, 12, and 24 hours after surgery), and safety outcomes (complications, readmissions, reinterventions, and mortality) up to 30 days after surgery. No experimental intervention is introduced.
- Ages
-
18 to 75 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 Hide 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: * Age ≥ 18 and ≤ 75 years. * Immunocompetent patients. * ASA physical status I-III. * Preoperative diagnosis of uncomplicated acute appendicitis (based on clinical assessment, laboratory tests, and imaging such as ultrasound and/or CT according to availability). * Indication for urgent appendectomy for uncomplicated appendicitis. * Laparoscopic approach. * Expected operative time \< 90 minutes. * Cooperative patient able to understand and follow instructions. * Voluntary participation and written informed consent. * Adequate social/family support (availability of a responsible adult for transport home and support during the first postoperative days). * Travel time from home to hospital \< 1 hour and access to transportation. * Acceptable home environment for recovery (telephone access and basic habitability/hygiene). Exclusion Criteria: * ASA physical status IV. * Age \< 18 years or \> 75 years. * BMI \> 35 kg/m² with significant respiratory or cardiovascular complications. * Ischemic heart disease class IV or acute myocardial infarction within the last 6 months. * Congestive heart failure NYHA class III-IV. * Sleep apnea or severe COPD, or need for home oxygen therapy. * Poorly controlled diabetes mellitus. * Severe psychiatric disorders, drug addiction, or severe alcoholism. * History of major anesthesia-related complications or malignant hyperthermia. * Epilepsy. * Pregnancy. * Use of anticoagulants, MAO inhibitors, systemic corticosteroids, or immunosuppressive drugs. * Complicated appendicitis (gangrenous or perforated appendicitis, abscess, diffuse peritonitis). * Severe sepsis. * Primary open appendectomy or conversion to open surgery. * Positive SARS-CoV-2 PCR or symptoms compatible with COVID-19.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute appendicitis are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Hospital Galdakao-Usansolo
Galdakao, Vizcaya, 48960, Spain
-
Hospital General Universitario de Elche
Elche, Alicante, 03203, Spain
-
Hospital Universitari Parc Taulí
Sabadell, Barcelona, 08208, Spain
-
Hospital Universitari d'Igualada
Igualada, Barcelona, 08700, Spain
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Keyhole vs open surgery: which appendectomy works better for obese patients?
- Can a simple score predict appendicitis better than a scan?
- A new lens on children's surgery: can video grading predict recovery?
- Could a simple mineral cut opioid use in Kids' surgery?
- Which appendix surgery causes fewer blockages? a Head-to-Head comparison
- Smartphone Follow-Up could replace hospital stays after common surgeries