POSSUM, P-POSSUM and Charlson's Comorbidity Index in Abdominal Surgery.
- Conditions
- Postoperative Complications
- Interventions
- Diagnostic Test: POSSUM
- Registration Number
- NCT04774354
- Lead Sponsor
- Ángel Becerra-Bolaños, MD PhD
- 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 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 CHF with respect to morbidity and mortality at 30
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 350
- All patients undergoing scheduled or urgent intervention for gastrointestinal surgery will be included in the study.
- 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
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Abdominal surgery POSSUM POSSUM, the P-POSSUM and the Charlson comorbidity index will be calculated and compared to the outcomes obtained in our center.
- Primary Outcome Measures
Name Time Method Validate the POSSUM and P-POSSUM systems in patients undergoing gastrointestinal surgery at the Doctor Negrín University Hospital of Gran Canaria 30 days after surgery. To compare the estimated morbidity and mortality with that observed.
- Secondary Outcome Measures
Name Time Method 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. laparotomy 30 days after surgery. To compare the estimated morbidity and mortality with that observed
Trial Locations
- Locations (1)
Ángel Becerra
🇪🇸Las Palmas De Gran Canaria, Las Palmas, Spain