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Frailty in the Perioperative Period

ConditionFrailty
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age65+
SponsorDr. Negrin University Hospital

About this trial

The presence of frailty is associated with a high risk of complications in the perioperative period, increasing morbidity and mortality, hospital stay, and loss of quality of life. In this prospective observational study, an evaluation of frailty was performed in patients older than 65 years old who undergo scheduled and urgent surgery. 138 patients are being included. The main objective is to evaluate the prevalence of frailty in patients older than 65 years undergoing surgery in our hospital and its association with postoperative mortality.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients over 65 years old undergoing urgent or scheduled surgery

Disqualifiers

Language barrier

Cognitive impairment or inability to assist in clinical assessment during the study

Refusal to participate in the study

Trial population

All patients over 65 years old undergoing surgery will be visited 24 hours before the intervention to sign the informed consent and the preoperative evaluation will be carried out through the application of different scales that evaluate the frailty of the patient. The patient will be monitored from his admission to the hospital until discharge and up to 3 months after the day of surgery. Data will be collected on in-hospital complications (medical or surgical), days of hospital stay, unforeseen need for ICU admission, if there has been loss of instrumental or cognitive abilities, and in-hospital mortality data and up to 3 months after surgery.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Preoperative frailty diagnostic

    Diagnostic test

    The preoperative evaluation of the patient will be carried out through the application of different scales that evaluate frailty (Edmonton frailty test, Barthel Index, Mini-mental test, Charlson Index) and a postoperative follow-up will be carried out for the diagnosis of complications during the first 90 postoperative days.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Prevalence of frailty

Prevalence of frailty in patients older than 65 years undergoing surgery in our hospital

Time frame
First preoperative day
2

Postoperative complications

Relationship of preoperative frailty in patients older than 65 years undergoing surgery in our hospital and postoperative mortality

Time frame
90 postoperative days

Secondary outcomes

1

Postoperative evolution

To evaluate the association between frailty and increased days of hospitalization, hospital readmission and unexpected admission to ICU areas.

Time frame
90 postoperative days
2

Functional independence

To assess whether patients with greater frailty suffer a greater loss of postoperative functional independence.

Time frame
First postoperative year

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Dr. Negrin University Hospital

Lead sponsor

University of Las Palmas de Gran Canaria

Collaborator

Source ClinicalTrials.gov
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