About this trial
This study aims to investigate the relationship between preoperative Cardiac Power Output (CPO), which reflects the pumping capacity of the heart, and the P-POSSUM score, a widely used surgical risk assessment tool, in patients aged 65 years and older undergoing abdominal surgery. Simple and non-invasive measurements performed in the preoperative period will be used to obtain CPO values and to evaluate whether these measurements are helpful in predicting postoperative morbidity and mortality. No additional procedures beyond routine clinical care will be performed as part of this observational study. The findings of this study may contribute to a more accurate assessment of surgical risk and help improve patient safety in the perioperative period.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Undergoing abdominal surgery in general surgery practice (including elective and emergency procedures),
ASA (American Society of Anesthesiologists) class I-III,
Adequate recording with transthoracic echocardiography,
Having given informed consent.
Disqualifiers
Severe valvular disease (severe stenosis or insufficiency),
Unstable coronary artery disease or recent myocardial infarction (within the last 3 months),
Pulmonary hypertension,
Severe arrhythmia (uncontrolled atrial fibrillation, ventricular tachycardia, etc.)
Trial population
This study will include patients aged 65 and over who are scheduled for abdominal surgery at Necmettin Erbakan University Faculty of Medicine Hospital.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
30-day postoperative mortality
All-cause mortality occurring within 30 days after abdominal surgery in patients aged 65 years and older (yes/no).
Secondary outcomes
Postoperative morbidity
Postoperative morbidity assessed using the Postoperative Morbidity Survey (POMS).
Early postoperative morbidity
Early postoperative morbidity assessed using the Postoperative Morbidity Survey (POMS) on postoperative day 3.
Sponsors and contacts
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