1. A multicentre assessment of NSAIDs
as risk factors for post-operative
adverse events
Student Audit and Research in Surgery

2. Why?

3. Steering Committee
•
Mr Chetan Khatri
•
Mr Michael Kelly
•
Mr Stephen Chapman
•
Mr James Glasbey
•
Dr Dmitri Nepogodiev
•
Mr Edward Fitzgerald
•
Mr Aneel Bhangu

4. Collaborator Locations

5. 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
1
Gotissen, BJS, 2012, 2Klein, BMJ, 2012

6. 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

7. 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

8. Audit vs. Research

9. Audit vs. Research
•
HRA Tool
•
NRES Committee
•
NREC Chair Approval

10. DATA QUALITY

11. Data Quality
•
Online e-module designed
to teach Clavein-Dindo
Classification
•
279 completed the quiz

12. Data Quality
Doctor compulsory
member of every mini-team
(one per team of three)

13. Results
•
72 centres returned data
•
n=956
•
Awaiting final data sets before analysis

14. Thank you