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POSSUM, P-POSSUM, Clinical Frailty Scale, Clinical Frailty Scale and Charlson's Comorbidity Index in Abdominal Surgery.

Prospective Assessment of Surgical Risk Using the POSSUM, P-POSSUM, Clinical Frailty Scale and Charlson's Comorbidity Index in Abdominal Surgery.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04774354
Enrollment
350
Registered
2021-03-01
Start date
2021-03-01
Completion date
2025-04-15
Last updated
2026-07-07

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

Conditions

Postoperative Complications

Keywords

postoperative complications, abdominal surgery, urgent surgery

Brief summary

Abdominal surgery represents the most frequent activity in the surgical block. Advances in surgical techniques and improvements in postoperative care imply the need for greater control of the surgical outcomes obtained and the comparison of results between services with the same characteristics with the help of assessment scales. A prospective observational study will be carried out during 2021. All patients undergoing abdominal surgery will be included. Demographic variables, personal and surgical history, preoperative and intraoperative data, and variables related to surgery will be collected. At 30 days postoperatively, the clinical history of the patients will be reviewed and postoperative complications will be collected as well as the mortality that occurred. With these data, the POSSUM, the P-POSSUM, the Clinical Frailty Scale and the Charlson comorbidity index will be calculated.

Detailed description

Abdominal surgery represents the most frequent activity in the surgical block. Advances in surgical techniques and improvements in postoperative care imply the need for greater control of the surgical outcomes obtained and the comparison of results between services with the same characteristics with the help of assessment scales. A prospective observational study will be carried out during 2021. All patients undergoing abdominal surgery will be included. Demographic variables, personal and surgical history, preoperative and intraoperative data, and variables related to surgery will be collected. At 30 days postoperatively, the clinical history of the patients will be reviewed and postoperative complications will be collected as well as the mortality that occurred. With these data, the POSSUM, the P-POSSUM and the Charlson comorbidity index will be calculated. Once this data are collected, the following objectives will be met: * Validate the POSSUM and P-POSSUM systems in patients undergoing gastrointestinal surgery in our hospital, comparing the estimated morbidity and mortality with that observed 30 days after surgery. * Analyze the correlation of estimated morbidity and mortality of the POSSUM and P-POSSUM with respect to that observed in scheduled surgery vs. emergencies. * Analyze the correlation of estimated morbidity and mortality of POSSUM and P-POSSUM with respect to that observed in laparoscopic surgery vs. laparotomy * Establish the relationship and predictive ability of Clinical Frailty Scale and Charlson Comorbidity Index with respect to morbidity and mortality at 30

Interventions

DIAGNOSTIC_TESTPOSSUM

These scales will be calculated and compared to the outcomes obtained in our center.

Sponsors

Ángel Becerra-Bolaños, MD PhD
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* All patients undergoing scheduled or urgent intervention for gastrointestinal surgery will be included in the study.

Exclusion criteria

* Patients operated under locoregional anesthesia. * Patients undergoing Major Ambulatory Surgery (CMA) regardless of postoperative destination (home or hospitalization floor). * Patients intervened on a scheduled basis in the afternoon shift * Patients who require surgery after the first 24 hours of hospital admission

Design outcomes

Primary

MeasureTime frameDescription
Validate the POSSUM and P-POSSUM systems in patients undergoing gastrointestinal surgery30 days after surgery.To compare the estimated morbidity and mortality with that observed.

Secondary

MeasureTime frameDescription
Analyze the correlation of estimated morbidity and mortality of the POSSUM and P-POSSUM with respect to that observed in scheduled surgery vs. emergencies.30 days after surgery.To compare the estimated morbidity and mortality with that observed.
Analyze the correlation of estimated morbidity and mortality of POSSUM and P-POSSUM with respect to that observed in laparoscopic surgery vs. laparotomy30 days after surgery.To compare the estimated morbidity and mortality with that observed

Countries

Spain

Contacts

PRINCIPAL_INVESTIGATORÁngel Becerra, MD PhD

Hospital Universitario de Gran Canaria Doctor Negrín

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 8, 2026