Protocol for Patients Above 75 Years Undergoing Emergency Laparotomy
Last updated on July 2021Recruitment
- Recruitment Status
- Recruiting
- Estimated Enrollment
- Same as current
Summary
- Conditions
- Frail Elderly Syndrome
- Frailty
- Gastro-Intestinal Disorder
- Outcome, Fatal
- Post-Op Complication
- Surgery- Complications
- Type
- Interventional
- Phase
- Not Applicable
- Design
- Allocation: N/AIntervention Model: Single Group AssignmentIntervention Model Description: A care-bundle developed for patients above 75 years undergoing emergency abdominal surgery will be investigated.Masking: None (Open Label)Primary Purpose: Health Services Research
Participation Requirements
- Age
- Between 75 years and 125 years
- Gender
- Both males and females
Description
In the "ProPEL" study the investigators will introduce a patient protocol designed for patients above 75 years where emergency laparotomy or laparoscopy is indicated. Patients with abdominal pathology requiring emergency surgery will be evaluated for frailty by the surgical team using standardized f...
In the "ProPEL" study the investigators will introduce a patient protocol designed for patients above 75 years where emergency laparotomy or laparoscopy is indicated. Patients with abdominal pathology requiring emergency surgery will be evaluated for frailty by the surgical team using standardized frailty scores. The results from the scorings indicate whether the patient should be offered surgery or palliation. The clinical decision is made together with the patient and/or relatives in a shared-decision-making process. If surgery is planned, the patient enters a specific care-bundle for emergency laparotomy. Mortality and morbidity will be analyzed in patients treated according to the principles of this bundle. The bundle will be applied to all patients above 75 years undergoing emergency laparotomy/laparoscopy with a Clinical Frailty Scale scoring from 1-6. Essential elements in this care-bundle are frailty scoring, surveillance and Optimizing of patients, surgical treatment within pre-defined criteria, and monitoring for delirium postoperatively.
Tracking Information
- NCT #
- NCT04293653
- Collaborators
- Not Provided
- Investigators
- Principal Investigator: Ib Jammer, MD, PhD
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