A multicentre assessment of NSAIDs as risk factors for

post-operative adverse events

Student Audit and Research in Surgery

Why?

Steering Committee• Mr Chetan Khatri

• Mr Michael Kelly

• Mr Stephen Chapman

• Mr James Glasbey

• Dr Dmitri Nepogodiev

• Mr Edward Fitzgerald

• Mr Aneel Bhangu

Collaborator Locations

NSAIDS

• Used regularly as post-operative analgesics as part of ERAS, WHO pain ladder.

• Increasing evidence1,2 emerging that NSAIDs may have a detrimental effect on post-operative adverse events

1Gotissen, BJS, 2012, 2Klein, BMJ, 2012

Aims

• To audit the safety profile of post-operative NSAIDs in current British surgical practice

• To form a student network with the capacity of undertaking clinical audit and research

Methods

• Identification of consecutive patients undergoing bowel resection over 14 day period

• Possible data collection from Tuesday 24th September - Monday 21st October 2013

• +30 day follow-up period

Audit vs. Research

Audit vs. Research

• HRA Tool

• NRES Committee

• NREC Chair Approval

DATA QUALITY

Data Quality

• Online e-module designed to teach Clavein-Dindo Classification

• 279 completed the quiz

Data Quality

Doctor compulsory member of every mini-team (one per team of three)

Results

• 72 centres returned data

• n=956

• Awaiting final data sets before analysis

Thank you