Postoperative Recovery in Elderly Patients, Quality of Recovery After Elective Surgery, Perioperative Care Outcomes in Older Adults
Conditions
Keywords
Quality of Recovery, Patient Reported Outcome Measure, Enhanced Recovery After Surgery, Health Care Quality, Postoperative Care, Older adults
Brief summary
Postoperative recovery in elderly patients is an important part of the surgical process and affects how patients feel after surgery. To date, recovery has been measured mostly with clinical outcomes, such as complications or length of stay, but not from the patient's perspective. The QoR-15 questionnaire was designed to assess recovery from the patient's point of view and has recently been validated in Spanish as the QoR-15E. This study aims to evaluate postoperative recovery in patients aged 80 years and older undergoing elective surgery with hospital admission, using the QoR-15E questionnaire. Patients will complete the questionnaire before surgery and on postoperative days 1, 2, 7, and 30. Additional assessments will include frailty and delirium scales, and postoperative complications will be recorded. Mortality will be evaluated 90 days after surgery, alongside the patient's subjective perception of their recovery.
Interventions
DIAGNOSTIC_TESTQoR-15E questionnaire.
A first QoR-15E questionnaire will be completed at baseline (T0) (before surgery). Other QoR-15E questionnaires will be completed at 24h (T1), 48h (T2), day 7 (T3) and day 30 (T4) after surgery.
DIAGNOSTIC_TESTClinical Frailty Scale
The Clinical Frailty Scale will be administered before surgery to determine patients' clinical fragility
OTHERConfusional Assessment Method
We will use the "Confusional Assessment Method" to assess the presence of confusion or delirium in the immediate postoperative period.
OTHERPost-Operative Morbidity Survey
Postoperative morbidity will be collected through the POMS survey.
Sponsors
Hospital Universitari Vall d'Hebron Research Institute
Hospital de la Santa creu i Sant Pau - Barcelona
Hospital Clinic of Barcelona
Hospital Vall d'Hebron
Hospital del Mar
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
80 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients aged 80 years or older. * Undergoing elective surgery requiring hospital admission. * Able to understand and provide written informed consent.
Exclusion criteria
* Inability to speak Spanish. * Pre-existing cognitive impairment. * Emergency or urgent surgery. * Neurosurgical or cardiac surgical procedures. * Ambulatory (outpatient) surgery without hospital admission.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative quality of recovery (QoR-15E) | Preoperatively and on postoperative days 1, 2, 7, and 30 | The QoR-15E questionnaire evaluates patient-reported quality of recovery after surgery. It includes 15 items covering physical, emotional, and psychological recovery domains. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Problems interfering with postoperative recovery assessed by the QoR-15E questionnaire. | Preoperatively and on postoperative days 1, 2, 7, and 30 | Items of the QoR-15E questionnaire indicating difficulties in physical, emotional, or psychological recovery will be analyzed to identify problems that interfere with overall postoperative recovery. |
| Contribution to optimization of ERAS and Multimodal Rehabilitation programs assessed by QoR-15E and clinical recovery indicators | Preoperatively and on postoperative days 1, 2, 7, and 30 | Patient-reported outcomes (QoR-15E) and clinical recovery indicators will be analyzed to identify areas for optimizing ERAS and Multimodal Rehabilitation programs in elderly patients undergoing elective surgery. |
| Contribution to clinical decision-making based on QoR-15E recovery scores | Preoperatively and on postoperative days 1, 2, 7, and 30 | QoR-15E questionnaire results will be analyzed to support postoperative clinical decision-making in elderly patients, evaluating recovery across physical, emotional, and psychological domains. |
Countries
Spain
Contacts
CONTACTVictor Morales Ariza, MD
CONTACTMiriam de Nadal, MD, PhD
PRINCIPAL_INVESTIGATORVictor Morales-Ariza, MD
Vall d'Hebron University Hospital / Universitat Autònoma de Barcelona
STUDY_CHAIRMiriam de Nadal, MD, PhD
Vall d'Hebron University Hospital / Universitat Autònoma de Barcelona
STUDY_DIRECTORMarcos de Miguel, MD, PhD
Vall d'Hebron University Hospital / Universitat Autònoma de Barcelona
Outcome results
None listed