Frail Elderly Syndrome, Surgery--Complications
Conditions
Brief summary
The aim of the study is to investigate the effect of frailty in patients ≥ 80 years admitted for elective major abdominal surgery.
Detailed description
Patients ≥ 80 years admitted for elective major abdominal surgery will be asked to participate in this study where frailty will be scored using the Clinical Frailty Scale and by measuring hand-grip-strength. Primary outcome is mortality at 30 days, 90 days and 1 year.
Interventions
OTHERScoring of frailty
1. Patients will be scored by the Clinical frailty Scale 2. Patients' hand-grip-strength will be measured by a dynamometer.
Sponsors
Haukeland University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
80 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age 80 years or above * elective abdominal surgery * informed consent
Exclusion criteria
* age less than 80 years * emergency surgery * palliative surgery ( e.g performing entero-enteroanastomosis to relieve obstruction)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to death | Up to one year | Time until subject dies or up to one year after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications | Up to 90 days after surgery | Complications as graded by the Clavien-Dindo system and defined by the EPCO-definitions. |
| Discharge to institution | Up to 90 days after surgery | Discharge to nursing home |
| Worsening functional status | 1 year postoperatively. | Increased need of assistance in performing ADL. |
| Mortality at 30 days | 30 days after surgery | Death within 30 days after surgery |
| Mortality at 90 days | 90 days after surgery | Death within 90 days after surgery |
Countries
Norway
Outcome results
None listed