About this trial
This prospective observational study aims to compare days alive and out of hospital at 30 days (DAOH-30) in patients with poor or good functional capacity undergoing gastrointestinal surgeries. The investigators are testing the hypothesis that patients with good functional capacity will have longer days alive and out of hospital than those with poor.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients undergoing intermediate and major upper or lower gastrointestinal surgeries (small intestine, colon, rectal, gastric, esophagus) with a predicted hospital stay of more than 24 hours
Patients aged 18 and above
Signed written informed consent
Reaching all perioperative data
Disqualifiers
Day case/ambulatory or one overnight hospital stay for minor gastrointestinal and perianal surgeries (hernia repair, hemorrhoidectomy, perianal abscess and fistula, appendectomy)
Hepatobiliary surgeries (hepatectomy, pancreas and gallbladder surgeries)
Patients aged below 18
Not signed written informed consent
Trial population
Patients undergoing gastrointestinal surgeries at Istanbul Medical Faculty in Istanbul-Turkey will be selected for the study population. Istanbul Medical Faculty is a tertiary center university hospital with approximately 25.000 surgeries annually.
Trial design
Cohort
Prospective
Treatments tested in this trial
DASI questionnaire
Other interventionAll patients will answer the DASI questionnaire before surgery. According to their scores, they will be divided into two groups. A score of 34 and below will be considered poor, and above 34 will be considered to have good functional capacity.
Treatment groups
Trial outcomes
Primary outcomes
Days alive and out of hospital at 30 days (DAOH-30)
It is calculated using mortality, hospital length of stay, and readmissions between the date of the index surgery and the 30th postoperative day.
Secondary outcomes
Days alive and out of hospital at 90 days (DAOH-90)
It is calculated using mortality, hospital length of stay, and readmissions between the date of the index surgery and the 90th postoperative day.
Postoperative complications
Cardiovascular, pulmonary, renal, neurologic, surgical, infectious and wound complications
The Postoperative Morbidity Survey (POMS) defined morbidity
Pulmonary, infectious, renal, gastrointestinal, cardiovascular, neurological, hematological, wound complications and pain will be examined according to POMS
Mortality
In and out of hospital mortality
Sponsors and contacts
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