Protocol for Patients Above 75 Years Undergoing Emergency Laparotomy ((ProPEL))

  • STATUS
    Recruiting
  • days left to enroll
    39
  • participants needed
    140
  • sponsor
    Haukeland University Hospital
Updated on 28 February 2022
abdominal surgery
propel
abdominal operation
Accepts healthy volunteers

Summary

In the ProPEL study the effect of a protocol designed for elderly patients about to undergo emergency abdominal surgery will be investigated. The protocol addresses issues of both frailty and ceiling-of -care decisions.

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 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.

Details
Condition Frailty, Surgery--Complications, Outcome, Fatal, Frail Elderly Syndrome, Post-Op Complication, Gastro-Intestinal Disorder
Treatment Protocol for patients above 75 undergoing emergency laparotomy or laparoscopy
Clinical Study IdentifierNCT04293653
SponsorHaukeland University Hospital
Last Modified on28 February 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Patients above 75 years with clinical suspicion of abdominal condition requiring surgery

Exclusion Criteria

Former inclusion in "ProPEL
Surgery for incarcerated hernia without laparotomy
Appendectomy without laparotomy
Palliative surgery for gastrointestinal tumour already known at time of inclusion
Palliation without surgical treatment
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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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