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Pre-operative Screening of Functional Fragilities Before Open Aortic Surgery: a New Area

Recruiting
Conditions
Aortic Aneurysm
Aortic Occlusion
Registration Number
NCT06201338
Lead Sponsor
University Paul Sabatier of Toulouse
Brief Summary

Aneurysmal or occlusive abdominal aortic pathology has seen its prevalence increase over the years despite the various cardiovascular risk factor management campaigns deployed.

Currently, a large proportion of these aortic pathologies require effective and definitive treatment by open surgery. In fact, minimally invasive endovascular treatment, which can provide good results in certain cases, cannot be generalized simply and can even lead to sometimes incomplete treatments requiring even more complex secondary open surgery.

The preoperative assessment before open aortic surgery is relatively well coded with cardiological and respiratory assessments in particular. However, the literature has so far never focused on the overall vision of the patient with a complete functional assessment which would make it possible to consider a specific preoperative fragility scale and would thus give practitioners corrective targets before such an intervention. in order to simplify the patient's post-operative journey by limiting complications.

The investigators therefore propose to collect a certain number of elements already collected in standard care in a systematic and prospective manner in order to create a risk scale. All of these elements being modifiable, they should ultimately make patients more robust for such an intervention.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • All patients undergoing open aortic surgery in the vascular surgery department
Exclusion Criteria
  • patient refusal

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Major adverse cardiovascular events (MACE)day 30 post operative

Rate of nonfatal stroke, nonfatal myocardial infarction and cardiovascular death

Home dischargedday 30 post operative

Rate of patient who need a rehabilitation center after surgery

Length of stayday 30 post operative

Evaluation of the length of stay in days of the patients

Post operative mortalityday 30 post operative

Rate of death after surgery

Secondary Outcome Measures
NameTimeMethod
Quality of life : Quality of Recovery-15day 30, 3 months, 6 months, 1 year

Evaluation of post-operative quality of life compared to pre-operative data with Quality of life Quality of Recovery-15

Quality of life : 36-item Short-Form Health Surveyday 30, 3 months, 6 months, 1 year

Evaluation of post-operative quality of life compared to pre-operative data with 36-item Short-Form Health Survey

Respiratory complicationsday 30 post operative

Rate of pneumopathy and need of reintubation or intubation longer than 24h

Trial Locations

Locations (1)

Toulouse university hospital, vascular surgery department

🇫🇷

Toulouse, France

Toulouse university hospital, vascular surgery department
🇫🇷Toulouse, France

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