Frailty Anesthesia and Complications.

  • STATUS
    Recruiting
  • participants needed
    850
  • sponsor
    Fundacio Puigvert
Updated on 19 February 2024
anesthesia
postoperative complications
postoperative complication

Summary

Objectives: To assess the prevalence of frailty in patients older than 70 y/o in nephrourologic surgery. To study if preoperative frailty is an independent predictor of immediate postoperative complications, after 30 days, 6 months and 1 year of follow-up. To detect if there are other independent risk factors for complications.

Description

Objectives: To assess the prevalence of frailty in patients older than 70 y/o in nephrourologic surgery. To study if preoperative frailty is an independent predictor of immediate postoperative complications, after 30 days, 6 months and 1 year of follow-up. To detect if there are other independent risk factors for complications.

Methods: prospective cohort study performed at Fundaci Puigvert. Enrollment of 850 patients 70 y/o who undergo scheduled nephrourologic surgery. In the preoperative visit frailty is going to be evaluated using the Short Physical Performance Battery (SPPB), the Canadian Frailty Scale, the Mini-Cog test (Memory an executive functions), the Pfeiffer Test (Cognitive global screening), an involuntary loss of more than 4.5kg or 5% of weight in the previous year and physical activity using the Metabolic Equivalents of Task (MET). We will analyse the relation among frailty, medical, surgical postoperative complications and mortality at 30 days, 6 months and one year after the surgery.

The results will be adjusted by the possible confounding and interaction variables using a multivariate logistic regression model. The confounding /interaction variables will include demographic data, clinical and lab data and events arisen during the follow-up period.

Details
Condition Complication of Surgical Procedure, Postoperative Delirium, Frail Elderly Syndrome, Anesthesia Complication, Physical Disability
Age 70years - 100years
Clinical Study IdentifierNCT04264351
SponsorFundacio Puigvert
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Patients who participate voluntarily
Signed Informed consent
+ years old
Scheduled urological surgery with general or regional anesthesia and length of stay in hospital over 24 hours
Patients with preserved domiciliary deambulation without aid of another person. (walking sticks, or walkers are accepted)

Exclusion Criteria

No signing of the informed consent
Surgery performed with local anesthetics
Day surgery, extracorporeal wave lithotripsy or endourological catheterism
Advanced diagnosed dementia
Patients with chronic advanced disease or terminal oncological disease
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Investigator Avatar
Merce Prieto Butillé, MD

Primary Contact

site
Fundaci Puigvert

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