Frailty
Conditions
Brief summary
This study aims to evaluate frailty using Short Physical Performance Battery (SPPB) before surgery and find out how frailty affects short-term postoperative recovery after surgery using Quality of Recovery-15 (QOR-15) questionnaire in patients undergoing minimally invasive distal gastrectomy for early gastric cancer.
Detailed description
As the elderly population increases, the evaluation and management of preoperative frailty is becoming important. In patients with frailty, exposure to external stress, such as surgery, can reduce physical function, increase postoperative complication, and raise the risk of death. This study aims to evaluate frailty using an automated device performing SPPB (Andantefit) and find out how frailty affects postoperative recovery.
Interventions
DIAGNOSTIC_TESTSPPB
Short Physical Performance Battery using the automated device (Andantefit)
Sponsors
Seoul National University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients over 70 years of age, undergoing minimal invasive (laparoscopic, robot-assisted) distal gastrectomy for early gastric cancer, who can assess short-term postoperative recovery
Exclusion criteria
* Patients who have a difficulty in communication * Patients who have a major medical or mental disease that can affect treatment outcome * Patients unsuitable for this clinical trail on the opinion of researcher
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Poor postoperative outcome (the Korean version of Quality of Recovery-15 [QoR-15K] < 122) | on postoperative day 3 | The minimum and maximum values of QoR-15K are 0 and 150, respectively. Higher scores mean better outcomes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Poor postoperative outcome (the Korean version of Quality of Recovery-15 [QoR-15K] < 122) | on postoperative day 1 | The minimum and maximum values of QoR-15K are 0 and 150, respectively. Higher scores mean better outcomes. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Pain score at rest / during ambulation | postoperative day 1, 2, 3 | Measuring with 11-pointed numeric rating scale (NRS). The minimum and maximum values of NRS are 0 and 11, respectively. Higher score means a more severe pain. |
| Ambulation distance | postoperative day 1, 2, 3 | Total ambulation distance for a day. Measured by pedometer |
| First gas out time | up to 1 week after surgery | Measurement of the time until the first gas out after surgery |
| Postoperative complication | up to 1 month after surgery | Based on Clavien-Dindo classification, Grade I-V |
| Hospital length of stay | at the day of discharge (up to 1 month after admission) | Measurement of the time until discharge after surgery |
| Postoperative QoR-15K score | postoperative day 1, 2, 3 | The minimum and maximum values of QoR-15K are 0 and 150, respectively. Higher scores mean better outcomes. |
Outcome results
None listed