Morbimortality in Major Urgent General Surgery in the Geriatric Patient.

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau120 enrolled

Overview

Retrospective observational cohort study of geriatric patients operated of urgent major general surgery in our centre during 2018. Our principal goals are: 1. To evaluate the incidence of post operation complications and its severity (defined by the Claiven-Dindo scale) 2. To evaluate the mortality: global mortality and mortality after: 30 days, 6 months and 1 year.

Study Type

OBSERVATIONAL

Enrollment

120

Conditions

Surgery--Complications Emergencies

Interventions

Urgent major general surgeryPROCEDURE

All geriatric patients (75 years and over) going under urgent major general surgery during 2018 in our centre

Eligibility

Sex: ALLMin age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Surgeries on the small and / or large bowel with or without intestinal resection, total colectomies, exploratory laparotomies Exclusion Criteria: * Polytraumatic patient, reoperations (for any cause) of scheduled and urgent surgeries

Locations (1)

Hospital de la Santa Creu i Sant Pau

Barcelona, Spain

Outcomes

Primary Outcomes

Incidence of complications

Evaluate the incidence of post operation complications and its severity (defined by the Claiven-Dindo scale).

Time frame: 30 days after surgery

Mortality rate

Global mortality and mortality after: 30 days, 6 months and 1 year.

Time frame: 1 year

Secondary Outcomes

Days of admission

Time frame: 30 days after surgery

days in ICU/Reanimation

Time frame: 30 days after surgery

NELA Risk Score

"National Emergency Laparotomy Audit" % of death

Time frame: pre-surgery

NSQUIP Risk Score

"American College of Surgeons National Surgical Quality Improvement Program": % of death

Time frame: pre-surgery

Data from ClinicalTrials.gov

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