About this trial

The Saudi Emergency Laparotomy Audit (SELA) is a national, multicenter observational clinical audit designed to evaluate outcomes and quality of care for patients undergoing emergency laparotomy in Saudi Arabia. The audit will collect standardized data on patient characteristics, comorbidities, perioperative processes, and postoperative outcomes through a retrospective baseline phase followed by a prospective registry phase. SELA aims to establish national benchmarks, assess applicability of international risk models, support development of a Saudi-specific risk prediction tool, and drive quality improvement through systematic feedback and benchmarking across participating hospitals.

Eligibility criteria

Qualifiers

Age ≥14 years

Undergoing an emergency (E1-E4) laparotomy, laparoscopy, or laparoscopically-assisted abdominal operation

Procedures involving the stomach, small bowel, large bowel, or rectum for acute pathology (e.g., perforation, ischemia, abscess, bleeding, or obstruction)

Washout/evacuation of intra-peritoneal abscess or hematoma (excluding those secondary to appendicitis or cholecystitis)

Disqualifiers

Age <14 years

Elective laparotomy or laparoscopy

Diagnostic-only laparotomy or laparoscopy (unless abandoned due to inoperable disease)

Appendicectomy or cholecystectomy (including their complications), unless incidental to a more major non-elective gastrointestinal procedure

Trial design

Treatments tested in this trial

  • Emergency Laparotomy

Treatment groups

10,000 Participants
are divided into 1 treatment group

Locations

1
King Faisal Specialist Hospital & Research Centre23433, JeddahMecca Region, Saudi Arabia

Sponsors and collaborators

King Faisal Specialist Hospital & Research Center

Lead sponsor