Pre-operative Screening of Functional Fragilities Before Open Aortic Surgery: a New Area
- Conditions
- Aortic AneurysmAortic 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
- All patients undergoing open aortic surgery in the vascular surgery department
- patient refusal
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Major adverse cardiovascular events (MACE) day 30 post operative Rate of nonfatal stroke, nonfatal myocardial infarction and cardiovascular death
Home discharged day 30 post operative Rate of patient who need a rehabilitation center after surgery
Length of stay day 30 post operative Evaluation of the length of stay in days of the patients
Post operative mortality day 30 post operative Rate of death after surgery
- Secondary Outcome Measures
Name Time Method Quality of life : Quality of Recovery-15 day 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 Survey day 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 complications day 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