Comparison of frailty screening instruments in terms of their ability to predict outcomes of colorectal surgery in older adults
Not Applicable
Completed
- Conditions
- Frailty in older adults undergoing elective colorectal resectionsSurgery
- Registration Number
- ISRCTN63830056
- Lead Sponsor
- niversitaire Ziekenhuizen Leuven
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 172
Inclusion Criteria
1. Aged 70 and over on the day of the surgery
2. Elective colorectal resection for cancer or benign disease
3. Enhanced recovery after surgery pathway
Exclusion Criteria
1. Patients lacking decision-making capacity
2. Patients undergoing emergency surgery, reoperations for surgical complications, hyperthermic intraperitoneal chemotherapy, stoma closure or transit repair, rectopexy or prolapse surgery, trans-anal procedures, proctological operations or local stoma procedures
3. Patients whose surgery was omitted
4. Patients who are unable to understand and speak Dutch
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The severity of in-hospital postoperative complications according to the Clavien-Dindo classification, assessed at discharge
- Secondary Outcome Measures
Name Time Method 1. Prolonged postoperative length of stay (LOS), defined as LOS > 75th percentile, assessed at discharge<br>2. Functional decline in basic activities of daily living (bADL), defined as the difference in bADL score compared to the preoperative score at 1 week and at 1, 3, 6 months after surgery<br>3. Functional decline in instrumental activities of daily living (iADL), defined as the difference in iADL score compared to the preoperative score at 1 week (if discharged) and at 1, 3, 6 months after surgery<br>4. Discharge to an increased level of care compared to the preoperative residence, assessed at discharge: levels of care in increasing order are:<br>4.1. Place of residence with same assistance compared to the preoperative situation<br>4.2. Place of residence with increased assistance compared to the preoperative situation<br>4.3. Rehabilitation/Convalescence stay<br>4.4. Nursing home admission