Frailty and emergency surgery in the elderly: protocol of a prospective, multicenter study in Italy for evaluating perioperative outcome (The FRAILESEL Study)

G. Costa, G. Massa*, F. Agresta, G. Anania, L. Ansaloni, M. Antropoli, G. Argenio, J. Atzeni, N. Avenia, A. Azzinnaro, A. Balani, G. Baldazzi, G. Balducci, G. Barbera, G. Bellanova, C. Bergamini, L. Bersigotti, P. P. Bianchi, C. Bombardini, G. BorzellinoS. Bozzo, G. Brachini, F. Buccoliero, G. M. Buonanno, M. Buononato, F. C. Campanile, T. Canini, S. Cardella, G. Carrara, F. Cascini, D. Cassini, M. Castriconi, G. Catalini, F. Catena, G. Ceccarelli, D. Celi, M. Ceresoli, M. Chiarugi, N. Cillara, F. Cimino, L. Cobuccio, F. Coccolini, G. Cocorullo, E. Colangelo, G. Costa, F. Crafa, Antonio Crucitti, Caneva P. Dalla, M. DeLuca, Garberini A. deManzoni, Nisco C. De, A. DeSol, T. Falcioni, N. Falco, C. Farina, G. Filippone, E. Finotti, S. Fiume, T. Fontana, G. Francioni, P. Fransvea, B. Frezza, S. Gemini, M. Genna, S. Giannessi, A. Gioffre, A. Giordano, D. Gozzo, S. Grimaldi, G. Gulotta, T. Iarussi, E. Laterza, L. Lepre, L. Lorenzon, R. Lotti, G. Luridiana, P. Marini, R. Marzaioli, G. Massa*, A. Mingoli, S. Mulas, C. Nagliati, G. Nigri, P. Niolu, A. Noviello, S. Occhionorelli, N. Paderno, G. M. Palini, D. Paradies, M. Paroli, F. Perrone, L. Petruzzelli, A. Pezzolla, D. Piazza, V. Piazza, M. Piccoli, A. Pisanu, M. Podda, G. Poillucci, R. Porfidia, G. Rossi, P. Ruscelli, S. Santella, M. Sartelli, A. Spagnoli, R. Sulis, A. Tarasconi, C. Trana, A. Travaglino, A. Valeri, G. Vasquez, M. Zago, E. Zanoni

*Autore corrispondente per questo lavoro

Risultato della ricerca: Contributo in rivistaArticolo

10 Citazioni (Scopus)

Abstract

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).
Lingua originaleInglese
pagine (da-a)97-104
Numero di pagine8
RivistaUpdates in Surgery
Volume70
Numero di pubblicazione1
DOI
Stato di pubblicazionePubblicato - 2018

All Science Journal Classification (ASJC) codes

  • Chirurgia

Keywords

  • 80 and over
  • Aged
  • Clinical Protocols
  • Elderly patient
  • Emergencies
  • Emergency surgery
  • Female
  • Frail Elderly
  • Frailty
  • Geriatric
  • Health Care
  • Humans
  • Italy
  • Logistic Models
  • Male
  • Multivariate Analysis
  • Outcome Assessment
  • Postoperative Complications
  • Prognosis
  • Prospective Studies
  • ROC Curve
  • Risk Assessment
  • Risk assessment
  • Scores

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