Morbimortality in Major Urgent General Surgery in the Geriatric Patient.

Morbimortality in Major Urgent General Surgery in the Geriatric Patient. Observational Study of Retrospective Cohort.

Retrospective observational cohort study of geriatric patients operated of urgent major general surgery in our centre during 2018.

Our principal goals are:

1. To evaluate the incidence of post operation complications and its severity (defined by the Claiven-Dindo scale)
2. To evaluate the mortality: global mortality and mortality after: 30 days, 6 months and 1 year.

Study Overview

• Status: Completed
• Conditions: Emergencies; Surgery--Complications
• Intervention / Treatment: Procedure: Urgent major general surgery

• Study Type: Observational
• Enrollment (Actual): 120

Contacts and Locations

Study Locations

• Spain
  • Barcelona, Spain
    • Hospital De La Santa Creu I Sant Pau

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 75 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

All the geriatric patients operated of urgent major general surgery in our centre during 2018.

Description

Inclusion Criteria:

• Surgeries on the small and / or large bowel with or without intestinal resection, total colectomies, exploratory laparotomies

Exclusion Criteria:

• Polytraumatic patient, reoperations (for any cause) of scheduled and urgent surgeries

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Incidence of complications	Evaluate the incidence of post operation complications and its severity (defined by the Claiven-Dindo scale).	30 days after surgery
Mortality rate	Global mortality and mortality after: 30 days, 6 months and 1 year.	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Days of admission		30 days after surgery
days in ICU/Reanimation		30 days after surgery
NELA Risk Score	"National Emergency Laparotomy Audit" % of death	pre-surgery
NSQUIP Risk Score	"American College of Surgeons National Surgical Quality Improvement Program": % of death	pre-surgery

Collaborators and Investigators

• Sponsor: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Study record dates

Study Major Dates

• Study Start (Actual): January 28, 2021
• Primary Completion (Actual): March 15, 2021
• Study Completion (Actual): March 15, 2021

Study Registration Dates

• First Submitted: January 16, 2021
• First Submitted That Met QC Criteria: January 21, 2021
• First Posted (Actual): January 27, 2021

Study Record Updates

• Last Update Posted (Actual): March 24, 2021
• Last Update Submitted That Met QC Criteria: March 22, 2021
• Last Verified: March 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: IIBSP-CGM-2020-108

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No