Frailty in the Perioperative Period

Study Overview
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Brief Summary
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The presence of frailty is associated with a high risk of complications in the perioperative period, increasing morbidity and mortality, hospital stay, and loss of quality of life. In this prospective observational study, an evaluation of frailty was performed in patients older than 65 years old who undergo scheduled and urgent surgery. 100 patients are being included for 3 months. The main objective is to evaluate the prevalence of frailty in patients older than 65 years undergoing surgery in our hospital and its association with postoperative mortality.

Detailed Description
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The presence of frailty is associated with a high risk of complications in the perioperative period, increasing morbidity and mortality, hospital stay, and loss of quality of life. This is a prospective observational study in which an evaluation of frailty was performed in patients older than 65 years old who undergo scheduled and urgent surgery, including 100 patients for 3 months. The main objective is to evaluate the prevalence of frailty in patients older than 65 years undergoing surgery and its association with postoperative mortality. The secondary objectives were the following: to assess the association between frailty and increased days of hospital stay, hospital readmission, and unexpected admission to ICU areas; to assess whether patients with greater frailty suffer a greater loss of postoperative functional independence; to evaluate type and frequency of complications; and to evaluate which scale is most useful to implement in the perioperative setting (Edmonton frailty test, Barthel Index, Mini-mental test, Charlson Index).

Official Title
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Perioperative Frailty and Postoperative Complications: a Prospective Study

Conditions
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Frailty

Intervention / Treatment
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* Diagnostic Test: Preoperative frailty diagnostic


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients over 65 years old undergoing urgent or scheduled surgery for three months. Exclusion Criteria: Language barrier Cognitive impairment or inability to assist in clinical assessment during the study Refusal to participate in the study

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Diagnostic Test: Preoperative frailty diagnostic|The preoperative evaluation of the patient will be carried out through the application of different scales that evaluate frailty (Edmonton frailty test, Barthel Index, Mini-mental test, Charlson Index) and a postoperative follow-up will be carried out for the diagnosis of complications during the first 90 postoperative days.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevalence of frailty | Prevalence of frailty in patients older than 65 years undergoing surgery in our hospital | First preoperative day | 
| Postoperative complications | Relationship of preoperative frailty in patients older than 65 years undergoing surgery in our hospital and postoperative mortality | 90 postoperative days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative evolution | To evaluate the association between frailty and increased days of hospitalization, hospital readmission and unexpected admission to ICU areas. | 90 postoperative days | 
| Functional independence | To assess whether patients with greater frailty suffer a greater loss of postoperative functional independence. | First postoperative year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Preoperative frailty, Postoperative complications