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Emergency Laparotomy and Frailty Study

NCT02952430 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 500

Last updated 2016-11-02

No results posted yet for this study

Summary

Patients aged over 65 comprise more than half the emergency general surgical workload, however, available risk-prediction tools for such patients are extrapolated from younger cohorts. Research suggests that high pre-operative frailty scores correlate with increased post-operative mortality and morbidity. Validated frailty assessments may help identify high risk older emergency surgical patients, facilitating decision-making and informing patient choice.

We propose the first prospective UK observational study assessing frailty as an independent predictor of outcome in the older surgical patient undergoing emergency laparotomy.

Prospective data collection of patients over 65 undergoing emergency laparotomy will be performed in 20 NHS Trusts. Pre-operative frailty scores will be evaluated using the Rockwood Frailty Scale. Primary outcome measure is 30-day mortality. Secondary outcome measures are post-operative complications, altered independence status and length of stay.

Results will be disseminated at national/international surgical meetings and published in a peer-reviewed journal.

Conditions

  • Emergencies
  • Frail Older Adult
  • Laparotomy

Interventions

PROCEDURE

Emergency laparotomy

Patients already undergoing emergency laparotomy - groups divided pre-operatively into frail and not frail based on modified Rockwood score. Then outcomes observed.

Sponsors & Collaborators

  • Older persons Surgical Outcomes Collaboration

    collaborator UNKNOWN

  • North Western Research Collaborative

    lead NETWORK

Principal Investigators

  • Susan Moug, MBChB, PhD

Eligibility

Min Age
65 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2016-12-31
Primary Completion
2017-03-31
Completion
2017-05-31

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT02952430 on ClinicalTrials.gov