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. 2014 Jun 27;4(6):e005164. doi: 10.1136/bmjopen-2014-005164

Table 3.

Required data fields

1 Patient age (whole years) Years
2 Patient gender Male, female
3 ASA score I, II, III, IV, V
4 History of ischaemic heart disease Yes, no
5 History of congestive heart failure Yes, no
6 History of cerebrovascular disease (stroke or transient ischaemic attack) Yes, no
7 History of diabetes No, diet, controlled, tablet controlled, insulin controlled
8 Chronic kidney disease (creatinine >177 μmol/L) Yes, no
9 Was the patient taking regular aspirin? Yes, and restarted in the first 7 postoperative days; yes, but did not restart in the first 7 postoperative days; no
10 Was the patient taking a perioperative statin? Yes, high dose (40 mg OD simvastatin or equivalent),
Yes, low dose (5–20 mg OD simvastatin or equivalent),
No
11 Date of operation DD/MM/YY
12 Time of operation 24 h clock
13 Operative approach Laparoscopy, laparoscopy converted to open, open
14 Primary operation performed Hartmann’s, left hemicolectomy, right hemicolectomy, subtotal colectomy, panproctocolectomy, anterior resection, abdominoperineal resection, small bowel resection, complete gastrectomy, partial gastrectomy, oesophagectomy, Whipple’s, other (free text)
15 Elective or emergency Elective, emergency
16 Anastomosis performed Handsewn, stapled, stoma
17 Stoma formation Planned temporary, permanent, none
18 Underlying pathology/indication Diverticular disease, hernia, malignancy, polyp, ischaemic bowel, adhesional obstruction, faecal perforation, ulcerative colitis, Crohn's disease, postoperative complication, other
19 Highest postoperative glycaemic reading within 72 h of surgery using finger prick, blood gas or laboratory value (mmol/L) Value (mmol/L)
20 Postoperative critical care admission? Planned from the theatre, unplanned from the theatre, unplanned from the ward, none
21 Postoperative ERAS pathway used? Yes, no
22 Was an NSAID used postoperatively? Yes—ibuprofen, yes—diclofenac, yes—naproxen, yes—celecoxib, yes—rofecoxib, yes—other, no
23 What day was the first dose of NSAID given? Day 1–7 (day 1 is day of surgery), none given
24 What dose of NSAID was given? Low, high, none given
25 Total length of stay (days) Days
26 30-day readmission? Yes, no
27 Surgical complication grade (Clavien-Dindo classification, list most severe grades I–V) None, I, II, III, IV, V
28 Anastomotic leak Yes, no
29 Wound infection Yes, no
30 Intra-abdominal/pelvic abscess Yes, no
31 Cardiovascular event Yes, no

ASA, American society of anesthesiologists; ERAS, enhanced recovery after surgery; NSAID, non-steroidal anti-inflammatory drug.