Frailty and Postoperative Outcomes After Emergency General Surgery

Completed

• Conditions: Outcomes Research; Geriatrics; General Surgery
• Interventions: Other: Frailty

• Registration Number: NCT02835053
• Lead Sponsor: Ottawa Hospital Research Institute

Brief Summary

The investigators will examine the association between preoperative frailty and postoperative outcomes and resource utilization after emergency general surgery.

Detailed Description

Not available

Study Timeline

• Study Start: 2002-04
• Primary Completion: 2014-03
• Study Completion: 2014-03
• Status Verified: 2016-07
• Study First Submitted: 2016-07-13
• Study First Submitted QC: 2016-07-14
• Last Update Submitted: 2016-07-14
• Study First Posted: 2016-07-15
• Last Update Posted: 2016-07-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 150000

Inclusion Criteria

• All residents of Ontario aged more than 65 years on their surgery date with valid provincial health insurance who have an emergency general surgery procedure (large bowel surgery, small bowel surgery, cholecystectomy, control of hemorrhage from duodenal ulcer, lysis of adhesions, appendectomy, laparotomy)

Exclusion Criteria

• No valid provincial health insurance

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Emergency General Surgery	Frailty	All patients having emergency general surgery procedures as defined by Scott et al (JAMA Surgery 2016)

Primary Outcome Measures

Name	Time	Method
Mortality	365 days (from date of surgery)	Mortality events will be identified from the registered person's database in Ontario from the date of surgery to 365 days after surgery, at which time participants will be censored

Secondary Outcome Measures

Name	Time	Method
Hospital length of stay	day of surgery to 365 days after surgery	Number of days in hospital from date of surgery to 365 days after surgery
Intensive care unit admission	from date of surgery to 30 days after surgery	Presence of a special care unit admission from the Discharge abstract database from the date of surgery to 30 days after surgery
Institutional discharge	Date of surgery to hospital discharge or 365 days after surgery (at which time participants will be censored)	Discharge disposition to an institution in the discharge abstract database
Costs	day of surgery to 365 days after surgery	Total costs incurred by the provincial health care system from the day of surgery to 365 days after surgery

Trial Locations

Locations (1)

Ottawa Hospital Research Institute; 🇨🇦 Ottawa, Ontario, Canada