Postoperative Recovery
Conditions
Keywords
Older adults, Minimally invasive surgery, Days alive and at home, Postoperative recovery
Brief summary
This retrospective observational study aims to evaluate short-term postoperative outcomes in older adults undergoing elective minimally invasive surgery. The primary focus is on patient-centered recovery measures, including length of hospital stay and the number of days patients are alive and at home within 30 days after surgery. Using routinely collected clinical data, the study will assess demographic, clinical, and perioperative factors associated with delayed discharge and reduced time spent at home after surgery. Understanding these factors may help clinicians and healthcare systems better plan postoperative care and optimize recovery pathways for older surgical patients.
Detailed description
This is a multicenter, retrospective, observational cohort study designed to identify predictors of short-term postoperative outcomes in older adults undergoing elective minimally invasive surgical procedures. The study includes patients aged 70 years and older who underwent elective laparoscopic or minimally invasive abdominal surgery. All data are derived exclusively from routinely collected medical records generated during standard clinical care. No study-related interventions, changes in clinical management, or additional patient contacts are performed. The primary outcomes of interest are length of hospital stay and days alive and at home within 30 days after surgery (HOME-30 / DAH30). Secondary analyses explore the association of demographic characteristics, comorbidities, perioperative factors, and discharge timing with these outcomes. The study aims to improve understanding of non-medical contributors to prolonged hospitalization in older surgical patients and to support the development of patient-centered outcome measures applicable across different healthcare systems.
Interventions
OTHERNo Intervention (Observational Study)
This is a retrospective observational study. No interventions were assigned or administered as part of the study. All analyses are based on routinely collected clinical data obtained during standard clinical care.
Sponsors
Dmitrii Semenov
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 70 years or older at the time of surgery * Undergoing elective minimally invasive surgical procedures * Surgery performed under general anesthesia * Availability of complete medical records required to assess study outcomes
Exclusion criteria
* Emergency or urgent surgical procedures * Open (non-minimally invasive) surgery * Incomplete medical records precluding outcome assessment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Days Alive and at Home Within 30 Days After Surgery (DAH30) | Postoperative Day 0 through Postoperative Day 30 | Days Alive and at Home within 30 days after surgery (DAH30), defined as the total number of days during the first 30 days following the index surgical procedure that the patient is alive and not admitted to an acute care hospital. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of Hospital Stay After Surgery | Perioperative period | Length of hospital stay, defined as the number of days from the date of surgery to the date of discharge from the index hospitalization. |
| All-Cause Hospital Readmission Within 30 Days After Surgery | Postoperative Day 1 through Postoperative Day 30 | Any unplanned hospital readmission for any cause occurring within 30 days after discharge from the index surgical hospitalization. |
| Postoperative Complications Within 30 Days | Postoperative Day 0 through Postoperative Day 30 | Occurrence of postoperative complications within 30 days after surgery, classified according to the Clavien-Dindo grading system. |
| Discharge Destination After Surgery | Perioperative period | Discharge destination following index hospitalization, categorized as home, rehabilitation facility, skilled nursing facility, or other healthcare institution. |
Countries
Russia
Outcome results
None listed