What is STARSurg?• Group that aims to facilitate multi-centre, student-led

audit and research projects• Engages students in international collaborative studies

• First project in 2013 • 258 student collaborators representing 31 UK medical

schools • Collaborate to collect outcomes data over a two-week

period on a prospective cohort of 1500 patients across 109 UK hospitals

• Our authorship policy designates PubMed-citable co-authorship to all collaborators, and publishes using the group name ‘STARSurg Collaborative’

What is OAKS?• Outcomes After Kidney injury in Surgery

• Postoperative AKI has been associated with increased morbidity, mortality and costs in intra-abdominal surgery

• Study aims:• Quantify the incidence of AKI in patients undergoing major

gastrointestinal and liver surgery• Define the morbidity and mortality associated with post-

operative AKI• Explore the potential risk factors for the development of

post-operative AKI • Identify potential targets for service improvement prior to

re-audit

How is the study set up?• Four separate 2-week data collection periods, starting on

Wednesday 23rd September • Each 2-week period will collect data on all the patients

entering the hospital who fit our inclusion criteria

• Mini-teams are formed, made up of 2 medical students and 1 junior doctor

• A supervising consultant overlooks all of the mini-teams• An independent validator for each medical school will

validate one 2-week period of the stud

How do we go about collecting the data?• Mini-teams will locate eligible patients who fit the

inclusion criteria by looking at theatre lists, handover sheets, emergency admissions

• Each team will then collect the data to be inputted on to the secure REDCAP recording system

• Regular follow-up is required to identify complications over the 30-day post-operative period. • The study is prospective in its collection

REDCap Example Video

Which patients do we need to collect data from?• Any GI resection• From oesophagus to rectum• Excludes appendicectomy

• Any liver resection• Reversal of an ileostomy or colostomy

• Elective Operations• Emergency Operations

Exclusion Criteria• <18yrs

• Regular renal replacement pre-operatively• Any form of dialysis in 90 days preceding operation

• Excluded procedures• Appendicectomy• Cholecystectomy• Hernia repair• Primarily urology, gynae, vascular, or transplant procedures

• E.g. bowel resection following AAA repair excluded, bowel resection from mesenteric ischaemia included

Pilot day• We will have a pilot day to overcome a learning curve in

identifying patients for inclusion, data collection and using the REDCap system• One day in the week leading up to their data collection start

date

Other important information• E-learning modules (100% pass

mark required)• AKI• Clavien-Dindo classification • Data governance

Online at http://www.starsurg.org/project

• This audit is planned to be re-audited in a years time, following appropriate intervention