Colorectal Postoperative Complication
Conditions
Keywords
CRP, Postoperative complication, Length of stay
Brief summary
Colic and rectal resection represents a majority of hospitalizations in visceral surgery. The objective of this study was to evaluate the prognostic of inflammatory markers dosage (CRP, procalcitonin and venous lactate) on the postoperative recovery after colorectal surgery and on the length of stay.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Upper age to 18 years * Planned hospital stay for a colonic resection with anastomosis without permanent or temporary digestive bypass * Patient with pre-operative CRP lower or egal to 172 mg/L * No opposition at the participation of the study * Expected patient return home after surgery (or convalescent home or not medicalized institution)
Exclusion criteria
* Patient under guardianship * Protected or private patient freedom * Minor patient * Colectomy surgery with digestive bypass or digestive anastomosis * Complex combined surgery (significantly intestinal resection associated, another surgical procedure that can interfere with postoperative CRP) * General inflammatory disease susceptive to modify dosage values * Anti-inflammatory therapy (AINS/ corticosteroids/ immunosuppressive) * Patient unable to understand the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| C-reactive Protein Rate | 5 postoperative days | Comparison C-reactive protein levels \< 172 mg/l at 3 post operative day with composite endpoint postoperative recovery (fever, absence of pain \>2, intestinal gas transit and patient autonomy for mobility and body care) at 5 post operative day. The Specificity, Sensitivity, PPV, NPV of C-Reactive Protein Levels at Day 3 Post-operative in Determining Day 5 Post-operative Recovery |
Countries
France
Contacts
Centre Hospitalier Departemental Vendee
Participant flow
Pre-assignment details
Of 174 enrolled participants, 168 met inclusion criteria
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Continuous | 65.1 years STANDARD_DEVIATION 13.2 |
| Sex: Female, Male Female | 76 Participants |
| Sex: Female, Male Male | 92 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 1 / 168 |
| other Total, other adverse events | 0 / 168 |
| serious Total, serious adverse events | 0 / 168 |