Influence of frailty and obesity on the complication rates following cardiac surgery

Frailty, obesity and adverse outcomes in cardiac surgical patients (FOCuS): a prospective study

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12617000380392

Acronym

FOCuS study

Enrollment

394

Registered

2017-03-14

Start date

2018-04-02

Completion date

Unknown

Last updated

2021-11-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Prevalence of obesity is increasing. Contrary to popular belief, literature has shown that overweight and mildly obese have infact been shown to have increased survival benefit compared to normal weight in non-cardiac and cardiac conditions. All the studies that have reported this paradoxical relationship were based on BMI; BMI is not a measure of body fat. This study is to investigate the association between obesity and postoperative in-hospital adverse outcomes following elective cardiac surgery. Several measures of obesity will be compared including BMI, WC, HC, NC and WHR . We will also be measuring body frailty and its association with adverse outcomes. The patients will be followed up until 2 years through phone contact and registries.

Interventions

1. Measurement of obesity measures such as BMI, neck circumference, waist circumference and waist to hip ratio: brief preoperative assessment the day before surgery. 2. Measurement of frailty by gait speed during a brief preoperative assessment the day before surgery. The followup for these participants for adverse outcomes will continue until 2 years post surgery

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

All elective and urgent cardiac procedures including CABG or valvular surgery or both along with any other concomitant procedure at The Prince Charles Hospital.

Exclusion criteria

Patients <18 years old Pregnant women Emergency cardiac procedures Repair of congenital heart pathologies, transplants, isolated aortic wall, thoracic or other vascular procedures. Refusal of consent Secondary procedures during the same admission

Outcome results