Preoperative assessment and postoperative outcomes after high risk cases of abdominal cancers

Recruiting

Registration Number: CTRI/2021/01/030494

Lead Sponsor: Tata Memorial Hospital

Brief Summary: The number of patients undergoing surgery and other related invasive interventions has been growing over the years; along with a large population moving into the elderly population. Abdominal surgeries carry high perioperative risks with high risk populations carrying multiple and uncontrolled comorbidities. Periâ€operative medicine is based on improving the care of patients to maximize the quality of life. High-risk surgeries have been defined as those with a mortality of >5%. A number of scoring systems and diagnostic tests have been used to help identify patients and operations with high risk and allow appropriate management to be started early in the perioperative period. The most commonly used systems are the POSSUM score and ASA grading. Perioperative medicine aims include preoperative risk stratification using cardiopulmonary exercise testing for patients undergoing major abdominal surgery, preoperative management of iron deficiency and anemia, and preoperative exercise intervention.

Proof of the utilization and validity for improving surgical outcomes with such tools in preoperative care is still not well established and evidence-based developments in this field will likely be beneficial to patients undergoing major abdominal surgery, but further research into such fields is required.

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: All

Target Recruitment: 1250

Inclusion Criteria

Gastro-intestinal cancers with American society of anesthesiologist class 1-4, having high risk (surgical or anaesthesia risk) and who are planned to be assessed in preoperative high risk joint clinic.

Exclusion Criteria

Emergency Surgery.

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Postoperative complications as per Clavien Dindo class of complications	From day of surgery to 30 days postoperatively

Secondary Outcome Measures

Name	Time	Method
Need for postoperative ventilation, number of days of ventilation, number of days in ICU,number of stay in hospital, Re-admission in ICU and readmission in hospital and 30 daysâ€™all-cause mortality.	From day of surgery to 30 days postoperatively

Trial Locations

Locations (1): Tata Memorial Hospital
🇮🇳
Mumbai, MAHARASHTRA, India
Tata Memorial Hospital
🇮🇳Mumbai, MAHARASHTRA, India
DrSohan Lal Solanki
Principal investigator
9869253201
sohan.solanki@gmail.com