Investigation of Relation With Preoperative Fragility and ASA Score in Elderly Patients
NCT ID: NCT05078983
Last Updated: 2022-08-04
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
320 participants
OBSERVATIONAL
2021-08-17
2022-11-17
Brief Summary
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Frailty is an important predictor of adverse outcomes after surgery. According to studies conducted in various surgical situations, fragility is a major risk factor for morbidity, mortality and longer hospital stay. According to the available data, frailty has a sufficient basis for determining the risks of patients before surgery, developing preventive methods and making personal treatment decisions. As the frailty index increased, it was observed that the duration of postoperative hospital stay was associated with the need for intensive care, postoperative complications, and the rate of re-admissions within 30 days.
ASA (American Society of Anesthesiologists) classification is widely used in order to evaluate the physical condition preoperatively in geriatric individuals with multiple comorbidities. Considering the fragility variable while creating the ASA score in the preoperative period may be useful in determining the follow-up strategy during the operation and postoperative period. For example, a patient who is evaluated as ASA 2 because he has no problems other than simple 1-2 comorbid conditions, involuntary weakening of 5% in the last 1 year (not easily noticed), weakness (can only be detected with a dynamometer) and cessation of going out of the house (can only be understood when asked privately). ) can be categorized as at risk at ASA level 3-4, as it is understood to be fragile.
The aim of this project is to examine the frequency of frailty in elderly individuals who will be operated on, and to examine the relationship between frailty and ASA score using the anthropometry and comorbidity differences between frail preoperative patients and those who do not.
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Detailed Description
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Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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HIGH RISK
HIGH RISK MEANS PATIENTS HAVE ASA SCORE OVER 2
CGA-FI (COMPREHENSIVE GERIATRIC ASSESMENT - FRAILITY INDEX)
GERIATRIC ASSESMENT TEST
LOW RISK
LOW RISK MEANS PATIENTS HAVE ASA SCORE BELOW 3
CGA-FI (COMPREHENSIVE GERIATRIC ASSESMENT - FRAILITY INDEX)
GERIATRIC ASSESMENT TEST
Interventions
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CGA-FI (COMPREHENSIVE GERIATRIC ASSESMENT - FRAILITY INDEX)
GERIATRIC ASSESMENT TEST
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
65 Years
ALL
No
Sponsors
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Gulhane Training and Research Hospital
OTHER_GOV
Responsible Party
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Sultan Keskin Demircan
Principal Investigator
Locations
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Gulhane training and research hospital
Ankara, , Turkey (Türkiye)
Countries
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Other Identifiers
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2021/11
Identifier Type: -
Identifier Source: org_study_id
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