6533b830fe1ef96bd12970da
RESEARCH PRODUCT
Frailty and emergency surgery in the elderly: protocol of a prospective, multicenter study in Italy for evaluating perioperative outcome (The FRAILESEL Study)
A MingoliGianluca CostaGiulia MassaF. AgrestaG. AnaniaLuca AnsaloniM. AntropoliG. ArgenioJ. AtzeniN. AveniaA. AzzinnaroA. BalaniG. BaldazziG. BalducciG. BarberaG. BellanovaC. BergaminiL. BersigottiP. P. BianchiC. BombardiniG. BorzellinoS. BozzoG. BrachiniF. BuccolieroG. M. BuonannoM. BuononatoF. C. CampanileT. CaniniS. CardellaG. CarraraF. CasciniD. CassiniM. CastriconiG. CataliniF. CatenaG. CeccarelliD. CeliM. CeresoliM. ChiarugiN. CillaraF. CiminoL. CobuccioF. CoccoliniG. CocorulloE. ColangeloG. CostaF. CrafaA. CrucittiP. Dalla CanevaDe M. LucaDe A. Manzoni GarberiniC. De NiscoDe A. SolT. FalcioniN. FalcoC. FarinaG. FilipponeE. FinottiS. FiumeT. FontanaG. FrancioniP. FransveaB. FrezzaSimone GeminiM. GennaS. GiannessiA. GioffrèA. GiordanoD. GozzoS. GrimaldiG. GulottaT. IarussiE. LaterzaL. LepreL. LorenzonR. LottiG. LuridianaP. MariniR. MarzaioliG. MassaS. MulasC. NagliatiG. NigriP. NioluA. NovielloS. OcchionorelliN. PadernoG. M. PaliniD. ParadiesM. ParoliF. PerroneL. PetruzzelliA. PezzollaD. PiazzaV. PiazzaM. PiccoliA. PisanuM. PoddaGaetano PoillucciR. PorfidiaG. RossiP. RuscelliS. SantellaM. SartelliA. SpagnoliR. SulisA. TarasconiC. TranàA. TravaglinoA. ValeriG. VasquezMichela ZagoE. Zanonisubject
Elderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; Scores; Aged; Aged 80 and over; Clinical Protocols; Emergencies; Female; Frailty; Humans; Italy; Logistic Models; Male; Multivariate Analysis; Outcome Assessment Health Care; Postoperative Complications; Prognosis; Prospective Studies; ROC Curve; Risk Assessment; Frail ElderlyMaleOutcome Assessment030230 surgerylaw.invention0302 clinical medicinePostoperative ComplicationsQuality of lifeClinical ProtocolslawOutcome Assessment Health Care80 and overProspective StudiesProspective cohort studyMultivariate AnalysiAged 80 and overEmergencieFrailtyMortality rateScoreScoresPrognosisIntensive care unitElderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; Scores; Aged; Aged 80 and over; Clinical Protocols; Emergencies; Female; Frailty; Humans; Italy; Logistic Models; Male; Multivariate Analysis; Outcome Assessment (Health Care); Postoperative Complications; Prognosis; Prospective Studies; ROC Curve; Risk Assessment; Frail ElderlyItaly030220 oncology & carcinogenesiselderly patient emergency surgery frailty geriatric risk assessment scoresEmergency surgeryFemaleRisk assessmentElderly patientHumanmedicine.medical_specialtyElderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; Scores;Logistic ModelPrognosiFrail ElderlyRisk AssessmentNO03 medical and health sciencesOutcome Assessment (Health Care)medicineHumansClinical ProtocolAgedbusiness.industryPerioperativeElderly patient; Emergency surgery; Frailty; Geriatric; Risk assessment; ScoresSurgeryHealth CareProspective StudieSettore MED/18 - Chirurgia GeneraleLogistic ModelsROC CurveEmergency medicineMultivariate AnalysisLife expectancyObservational studySurgeryPostoperative ComplicationEmergenciesbusinessGeriatricdescription
Improvements in living conditions and progress in medical management have resulted in better quality of life and longer life expectancy. Therefore, the number of older people undergoing surgery is increasing. Frailty is often described as a syndrome in aged patients where there is augmented vulnerability due to progressive loss of functional reserves. Studies suggest that frailty predisposes elderly to worsening outcome after surgery. Since emergency surgery is associated with higher mortality rates, it is paramount to have an accurate stratification of surgical risk in such patients. The aim of our study is to characterize the clinicopathological findings, management, and short-term outcome of elderly patients undergoing emergency surgery. The secondary objectives are to evaluate the presence and influence of frailty and analyze the prognostic role of existing risk-scores. The final FRAILESEL protocol was approved by the Ethical Committee of “Sapienza” University of Rome, Italy. The FRAILESEL study is a nationwide, Italian, multicenter, observational study conducted through a resident-led model. Patients over 65 years of age who require emergency surgical procedures will be included in this study. The primary outcome measures are 30-day postoperative mortality and morbidity rates. The Clavien-Dindo classification system is used to categorize complications. The secondary outcome measures include length of hospital stay, length of stay in intensive care unit, and predictive value for morbidity and mortality of several frailty and surgical risk-scores. The results of the FRAILESEL study will be disseminated through national and international conference presentations and peer-reviewed journals. The study is also registered at ClinicalTrials.gov (ClinicalTrials.gov identifier: NCT02825082).
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2018-01-01 |