POSSUM, P-POSSUM and Charlson's Comorbidity Index in Abdominal Surgery.

NCT04774354 | Completed

• 1 other identifier: POSSUM-Negrín
• Study Type: observational
• Target: 350
• Locations: 1 country
• Sites: 1

Brief Summary

Abdominal surgery represents the most frequent activity in the surgical block. Advances in surgical techniques and improvements in postoperative care imply the need for greater control of the surgical outcomes obtained and the comparison of results between services with the same characteristics with the help of assessment scales. A prospective observational study will be carried out during 2021. All patients undergoing abdominal surgery will be included. Demographic variables, personal and surgical history, preoperative and intraoperative data, and variables related to surgery will be collected. At 30 days postoperatively, the clinical history of the patients will be reviewed and postoperative complications will be collected as well as the mortality that occurred. With these data, the POSSUM, the P-POSSUM and the Charlson comorbidity index will be calculated.

Conditions

Postoperative Complications

Keywords

postoperative complications; abdominal surgery; urgent surgery

Outcome Measures

Primary Outcomes (1)

• Validate the POSSUM and P-POSSUM systems in patients undergoing gastrointestinal surgery at the Doctor Negrín University Hospital of Gran Canaria

  To compare the estimated morbidity and mortality with that observed.

  30 days after surgery.

Secondary Outcomes (2)

• Analyze the correlation of estimated morbidity and mortality of the POSSUM and P-POSSUM with respect to that observed in scheduled surgery vs. emergencies.

  30 days after surgery.

• Analyze the correlation of estimated morbidity and mortality of POSSUM and P-POSSUM with respect to that observed in laparoscopic surgery vs. laparotomy

  30 days after surgery.

Study Arms (1)

Abdominal surgery

POSSUM, the P-POSSUM and the Charlson comorbidity index will be calculated and compared to the outcomes obtained in our center.

Diagnostic Test: POSSUM

Interventions

POSSUM DIAGNOSTIC_TEST

These scales will be calculated and compared to the outcomes obtained in our center.

Also known as: P-POSSUM, Charlson comorbidity index

Abdominal surgery

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

A prospective observational study will be carried out in which all patients undergoing gastrointestinal surgery will be included, both scheduled and urgently. At 30 days postoperatively, the clinical records of the patients will be reviewed in order to establish the incidence of morbidity and mortality.

You may qualify if:

• All patients undergoing scheduled or urgent intervention for gastrointestinal surgery will be included in the study.

You may not qualify if:

• Patients operated under locoregional anesthesia.
• Patients undergoing Major Ambulatory Surgery (CMA) regardless of postoperative destination (home or hospitalization floor).
• Patients intervened on a scheduled basis in the afternoon shift
• Patients who require surgery after the first 24 hours of hospital admission

Sponsors & Collaborators

• Ángel Becerra-Bolaños, MD PhD: lead

Study Sites (1)

Ángel Becerra

Las Palmas de Gran Canaria, Las Palmas, 35019, Spain

Location

MeSH Terms

Conditions

Postoperative Complications

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: February 24, 2021
• First Posted: March 1, 2021
• Study Start: March 1, 2021
• Primary Completion: March 30, 2025
• Study Completion: April 15, 2025
• Last Updated: April 20, 2025

Record last verified: 2025-04

Locations

ES (1)