Frailty
Conditions
Keywords
Preoperative frailty, Postoperative complications
Brief summary
The presence of frailty is associated with a high risk of complications in the perioperative period, increasing morbidity and mortality, hospital stay, and loss of quality of life. In this prospective observational study, an evaluation of frailty was performed in patients older than 65 years old who undergo scheduled and urgent surgery. 138 patients are being included. The main objective is to evaluate the prevalence of frailty in patients older than 65 years undergoing surgery in our hospital and its association with postoperative mortality.
Detailed description
The presence of frailty is associated with a high risk of complications in the perioperative period, increasing morbidity and mortality, hospital stay, and loss of quality of life. This is a prospective observational study in which an evaluation of frailty was performed in patients older than 65 years old who undergo scheduled and urgent surgery, including 138 patients. The main objective is to evaluate the prevalence of frailty in patients older than 65 years undergoing surgery and its association with postoperative mortality. The secondary objectives were the following: to assess the association between frailty and increased days of hospital stay, hospital readmission, and unexpected admission to ICU areas; to assess whether patients with greater frailty suffer a greater loss of postoperative functional independence; to evaluate type and frequency of complications; and to evaluate which scale is most useful to implement in the perioperative setting (Frailty Clinical Scale, Edmonton frailty test, Barthel Index, Mini-mental test, Charlson Index). Considering that the estimated percentage of frailty is 10%, with a 95% confidence interval and a 5% error margin, 138 patients are needed to accurately estimate the prevalence of frailty in the population.
Interventions
DIAGNOSTIC_TESTPreoperative frailty diagnostic
The preoperative evaluation of the patient will be carried out through the application of different scales that evaluate frailty (Edmonton frailty test, Barthel Index, Mini-mental test, Charlson Index) and a postoperative follow-up will be carried out for the diagnosis of complications during the first 90 postoperative days.
Sponsors
University of Las Palmas de Gran Canaria
Dr. Negrin University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients over 65 years old undergoing urgent or scheduled surgery
Exclusion criteria
* Language barrier * Cognitive impairment or inability to assist in clinical assessment during the study * Refusal to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of frailty | First preoperative day | Prevalence of frailty in patients older than 65 years undergoing surgery in our hospital |
| Postoperative complications | 90 postoperative days | Relationship of preoperative frailty in patients older than 65 years undergoing surgery in our hospital and postoperative mortality |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative evolution | 90 postoperative days | To evaluate the association between frailty and increased days of hospitalization, hospital readmission and unexpected admission to ICU areas. |
| Functional independence | First postoperative year | To assess whether patients with greater frailty suffer a greater loss of postoperative functional independence. |
Countries
Spain
Contacts
Primary ContactÁngel Becerra, PhD
Backup ContactAurelio Rodriguez-Pérez, PhD
Outcome results
None listed