Frailty, Older Patients, Surgery
Conditions
Brief summary
Frailty is prevalent in older adults and may be a better predictor of post-operative morbidity and mortality than chronological age. Preoperative risk factors and physiological reserves were assessed on patients more than 70 years old who are scheduled for surgery under general or regional anesthesia. The aim of this retrospective analysis was to examine the impact of relevant geriatric assessments on adverse outcomes in older surgical patients.
Detailed description
The goal of this study is to analyze the effect of frailty status on postoperative outcomes. These include postoperative complications (only ICD-10 coded diagnoses), length of hospitalization (ward/ICU), disposition, and survival. The project will also attempt to find synergism between a positive frailty status and common medical conditions (e.g. diabetes, congestive heart failure, coronary artery disease, dementia, and kidney disease), as well as anesthesiological and surgical processes (e.g. duration and type of anesthesia, surgical risk, and surgical discipline). Different assessment tools will be analyzed regarding their predictive power and clinical practicability. This should help improve preoperative risk assessment and allow for the multidimensional (physical, cognitive, social) identification of relevant frailty characteristics in the perioperative setting. All outcome parameters, including admission and discharge periods, will be collected using coded information from our hospital database. There will be no follow-up measurements after hospital discharge.
Interventions
None listed
Sponsors
Charite University, Berlin, Germany
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Male and female patients with age 70 years and above scheduled for surgery in the Department of Anesthesiology and Intensive Care Medicine (CCM, CVK), Charité - Universitätsmedizin Berlin
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications | 06/2016-12/2022 | ICD-10 coded diagnoses for the hospitalization |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of Intensive Care Unit Stay | 06/2016-12/2022 | — |
| Procedures | 06/2016-12/2022 | The procedures are measured regarding the following practices: anesthesiological, surgical, physiotherapeutic, social, cognitive, therapeutic, behavioral |
| Morbidity | 06/2016-12/2022 | — |
| Ventilation | 06/2016-12/2022 | Ventilation is measured in hours. |
| Requirements for intensive care unit | 06/2016-12/2022 | — |
| Intensive care unit scores | 06/2016-12/2022 | — |
| Disease severity | 06/2016-12/2022 | — |
| Duration of Hospital stay | 06/2016-12/2022 | — |
| Mortality | 06/2016-12/2022 | Mortality is measured in hospital. |
| Medical costs | 06/2016-12/2022 | Costs incurred during hospitalization |
| Physiotherapy | 06/2016-12/2022 | Physiotherapy is measured by Physiotherapists support. |
| Nutritional therapy 1 | 06/2016-12/2022 | Nutritional consultations |
| Nutritional therapy 2 | 06/2016-12/2022 | Feeding |
| Post - intensive care syndrome | 06/2016-12/2022 | Post - Intensive care syndrome is measured by a cluster of symptoms that are unique to the Intensive care unit environment. |
| Postoperative Delirium | 06/2016-12/2022 | Delirium is measured with validated delirium scores. |
Countries
Germany
Outcome results
None listed