Postoperative Outcomes Within an Enhanced Recovery After Surgery Protocol
POWER
1 other identifier
observational
2,050
1 country
80
Brief Summary
Short title POWER Audit Methods 60 days national (Spain) audit of postoperative complications following elective gastrointestinal surgery within an enhanced recovery after surgery (ERAS) protocol. Research sites Hospitals undertaking elective lower gastrointestinal surgery. Objective To provide detailed data describing post-operative complications and associated mortality; and length of stay. To provide detailed data describing adherence to ERAS protocol and its association to morbidity. Number of patients Not specified. All eligible patients undergoing surgery during the study month. Inclusion Criteria All adult patients (aged ≥18 years) undergoing lower gastrointestinal elective surgery within an ERAS protocol during the 60 day study period. Statistical analysis Univariate analysis will be used to test factors (patient, surgical, and ERAS related) associated with surgical complications, length of stay (LOS) and in-hospital death. Single and multi-level logistic regression models will be constructed to identify factors independently associated with these outcomes and to adjust for differences in confounding factors. A stepwise approach will be used to enter new terms. A single final analysis is planned at the end of the study. Summary statistics with post hoc Bonferroni corrections will be used to assess possible dose-response dependence in percentage of patients with postoperative complications and LOS. Proposed Start Date A 60 day period between 2017 Proposed End Date Data collection will end by September 2017 Study Duration Six months
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Sep 2017
Shorter than P25 for all trials
80 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 4, 2017
CompletedFirst Posted
Study publicly available on registry
January 6, 2017
CompletedStudy Start
First participant enrolled
September 15, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 25, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
March 25, 2018
CompletedJanuary 23, 2019
January 1, 2019
5 months
January 4, 2017
January 20, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
The incidence of 60-day predefined (according EPCO guidelines) postoperative complications following elective lower gastrointestinal surgery within any compliance of an ERAS protocol.
To confirm the incidence of 30-day in-hospital complications following elective in-patient surgery.
30 days
Secondary Outcomes (1)
30-day in-hospital mortality associated with these complications
30 days
Other Outcomes (1)
Relationship between ERAS adherence and post- operative complications
30 days
Interventions
Postoperative Audit
Eligibility Criteria
All adult patients (aged ≥18 years) undergoing elective lower gastrointestinal surgery within any compliance of an ERAS protocol (including patients with 0 compliance) in a participating hospital during the 60-day cohort period with a planned overnight stay.
You may qualify if:
- All adult patients (aged ≥18 years) undergoing elective lower gastrointestinal surgery within any compliance of an ERAS protocol (including patients with 0 compliance) in a participating hospital during the 60-day cohort period with a planned overnight stay.
- Right hemicolectomy
- Resection of transverse colon
- Left hemicolectomy
- Sigmoidectomy
- Low anterior resection of the rectum
- Abdominoperineal rectal amputation
- Subtotal colectomy
- Total colectomy
You may not qualify if:
- Patients undergoing emergency surgery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (80)
Hospital Virgen de los Lirios de Alcoy
Alcoy, Alicante, Spain
Hospital General Universitario de Elche
Elche, Alicante, Spain
Hospital Don Benito-Villanueva de la Serena
Don Benito-Villanueva de La Serena, Badajoz, Spain
Hospital de Mérida
Mérida, Badajoz, Spain
Hospital de Igualada
Igualada, Barcelona, Spain
Hospital Universitario Parc Tauli
Sabadell, Barcelona, Spain
Hospital de Sant Joan Despí Moisès Broggi
Sant Joan d'Espi, Barcelona, Spain
Fundación Hospital del Espíritu Santo
Santa Coloma de Gramanet, Barcelona, Spain
Hospital Mútua Terrassa
Terrassa, Barcelona, Spain
Hospital Universitario de Vic
Vic, Barcelona, Spain
OSI Alto Deba
Arrasate / Mondragón, Bilbao, Spain
Hospital Universitario de Cruces
Barakaldo, Bizkaia, Spain
Hospital Comarcal de Laredo
Laredo, Cantabria, Spain
Hospital de Sierrallana
Torrelavega, Cantabria, Spain
Hospital General Universitario de Castellón
Castellon, Castellón, Spain
Hospital Comarcal de Vinaroz
Vinaròs, Castellón, Spain
Complejo Hospitalario Universitario de A Coruña
A Coruña, Coruña, Spain
Hospital Virgen del Puerto
Plasencia, Cáceres, Spain
Hospital Universitario Puerta del Mar
Cadiz, Cádiz, Spain
Hospital Universitario Jerez de La Frontera
Jerez de la Frontera, Cádiz, Spain
Hospital San Pedro
Logroño, La Rioja, Spain
Complejo Asistencial Universitario de León
León, León, Spain
Hospital Universitario Príncipe de Asturias
Alcalá de Henares, Madrid, Spain
Hospital Universitario Fundación Alcorcón
Alcorcón, Madrid, Spain
Hospital Universitario de Fuenlabrada
Fuenlabrada, Madrid, Spain
Hospital Universitario Getafe
Getafe, Madrid, Spain
Hospital Universitario Puerta de Hierro
Majadahonda, Madrid, Spain
Hospital Rey Juan Carlos
Móstoles, Madrid, Spain
Hospital Universitario de Móstoles
Móstoles, Madrid, Spain
Hospital Universitario Quirón Madrid
Pozuelo de Alarcón, Madrid, Spain
Hospital Universitario de Torrejón
Torrejón de Ardoz, Madrid, Spain
Hospital Comarcal de Inca
Inca, Mallorca, Spain
Hospital de Manacor
Manacor, Mallorca, Spain
Hospital Universitario Son Espases
Palma de Mallorca, Mallorca, Spain
Hospital General Mateu Orfila
Menorca, Menorca, Spain
Hospital Rafael Méndez
Lorca, Murcia, Spain
Hospital Costa del Sol
Marbella, Málaga, Spain
Hospital Universitario Virgen del Victoria de Málaga
Málaga, Málaga, Spain
Complejo Hospitalario de Navarra
Pamplona, Navarre, Spain
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, Spain
Hospital General de La Palma
Santa Cruz de Tenerife, Tenerife, Spain
Hospital Nuestra Señora del Prado
Talavera de la Reina, Toledo, Spain
Hospital de Manises
Manises, Valencia, Spain
Hospital General Universitario de Alicante
Alicante, Spain
Hospital 2 de Mayo
Barcelona, Spain
Hospital Clínic Universitat de Barcelona
Barcelona, Spain
Hospital Universitario Sant Pau
Barcelona, Spain
Hospital Universitario Vall d´Hebrón
Barcelona, Spain
Hospital Universitario de Burgos
Burgos, Spain
Hospital General Universitario de Ciudad Real
Ciudad Real, Spain
Hospital Universitario de Guadalajara
Guadalajara, Spain
Hospital Universitario de Gran Canaria Doctor Negrín
Las Palmas, Spain
Hospital Universitario Insular de Gran Canaria
Las Palmas de Gran Canaria, Spain
Hospital Universitario Arnau de Vilanova
Lleida, Spain
Hospital Clínico San Carlos
Madrid, Spain
Hospital de La Princesa
Madrid, Spain
Hospital General Universitario Gregorio Marañón
Madrid, Spain
Hospital Universitario 12 de Octubre
Madrid, Spain
Hospital Universitario Infanta Leonor
Madrid, Spain
Hospital Universitario La Paz
Madrid, Spain
Hospital Universitario Ramón y Cajal
Madrid, Spain
Hospital General Universitario José María Morales Messeguer
Murcia, Spain
Hospital Reina Sofía
Murcia, Spain
Complejo Hospitalario y Universitario de Pontevedra
Pontevedra, Spain
Complejo Hospitalario de Salamanca
Salamanca, Spain
Hospital Universitario Marqués de Valdecilla
Santander, Spain
Complejo Asistencial de Segovia
Segovia, Spain
Hospital Universitario Virgen de Valme
Seville, Spain
Hospital Universitario Virgen Macarena
Seville, Spain
Complejo Hospitalario de Toledo
Toledo, Spain
Hospital Clínico Universitario de Valencia
Valencia, Spain
Hospital General Universitario de Valencia
Valencia, Spain
Hospital Universitario La Fe
Valencia, Spain
Hospital Clínico de Valladolid
Valladolid, Spain
Hospital Universitario Río Hortega
Valladolid, Spain
Hospital Universitario de Álava
Vitoria-Gasteiz, Spain
Complejo Asistencial de Zamora
Zamora, Spain
Hospital Clínico Universitario Lozano Blesa
Zaragoza, Spain
Hospital Royo Vilanova
Zaragoza, Spain
Hospital Universitario Miguel Server
Zaragoza, Spain
Related Publications (1)
Suarez-de-la-Rica A, Ripolles-Melchor J, Abad-Motos A, Aldecoa C, Ferrando C, Abad-Gurumeta A, Diaz-Almiron M, Casans-Frances R, Logrono-Egea M, Garcia-Erce JA, Ramirez Rodriguez JM, Cuellar-Martinez A, Marmana-Mezquita S, Maseda E; POWER Study Investigators Group for the Spanish Perioperative Audit and Research Network (RedGERM-SPARN). Association of perioperative fluid balance and acute kidney injury in patients undergoing elective colorectal surgery: A pre-planned secondary analysis of a multicentre prospective observational study. Eur J Anaesthesiol. 2026 Jan 8. doi: 10.1097/EJA.0000000000002339. Online ahead of print.
PMID: 41504294DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Javier Ripollés Melchor, MD
Grupo Español de Rehabilitación Multimodal
- PRINCIPAL INVESTIGATOR
José María Calvo Vecino, Prof
Grupo Español de Rehabilitación Multimodal
- PRINCIPAL INVESTIGATOR
Alfredo Abad-Gurumeta, PhD
Grupo Español de Rehabilitación Multimodal
- PRINCIPAL INVESTIGATOR
José Manuel Ramírez, Prof
Grupo Español de Rehabilitación Multimodal
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Target Duration
- 30 Days
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
January 4, 2017
First Posted
January 6, 2017
Study Start
September 15, 2017
Primary Completion
February 25, 2018
Study Completion
March 25, 2018
Last Updated
January 23, 2019
Record last verified: 2019-01
Data Sharing
- IPD Sharing
- Will share
Data will be available under request