Colorectal Emergencies in Elderly Patients.

NCT05443386 | Completed

• 1 other identifier: UFoggia1
• Study Type: observational
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Colon diseases can turn in a clinical emergency with the onset of some important complications. Some critical conditions are more common in aged patients because they are more frails. The aim of this study is to examine ultra 80 patients, undergoing emergency colorectal surgery, evaluating the aspects associated with post-operative complications and other problems in the short term. From November 2020 to February 2022 we have included 32 consecutive patients older than 80 undergoing emergency surgery due to colon diseases. We have collected and analysed all demographic, and operative data and then applied CR-POSSUM score and correlated with postoperative hospital stay and the onset of postoperative complications according to Clavien Dindo classification. Postoperative factors were selectively evaluated based on the clinical scenario and different colic pathologies. There was no statistically significant differences, in terms of postoperative hospital stay, postoperative complications, reoperation rate and 30-day mortality. The number of cases of blood transfusions was significant, more numerous in case of intestinal perforation and bleeding cases. The value of Operative Severity Score in the Bowel Perforations, was significantly higher. The use of a score to stratify the risk is a useful tool especially in elderly patients to undergo emergency surgery. The CR-POSSUM score was important for predicting morbidity in our study. Emergency manifestations of colon diseases in the elderly show higher morbidity and mortality rates.

Conditions

Emergency Colorectal Surgery in Ultra 80 Patients

Outcome Measures

Primary Outcomes (1)

• postoperative hospital stay

  30 days

Secondary Outcomes (1)

• postoperative complications

  30 days

Interventions

colorectal surgery PROCEDURE

we have included several types of colorectal surgery procedures, in emergency conditions

Eligibility Criteria

• Age: 80 Years+
• Sex: all
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

patients older than 80 undergoing emergency surgery (within 24 hours) due to colon diseases were included in this retrospective study

You may qualify if:

• age older than eighty
• emergency conditions

You may not qualify if:

• trauma cases

Sponsors & Collaborators

• University of Foggia: lead

Study Sites (1)

Policlinico Di Foggia

Foggia, 71122, Italy

Location

Study Design

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

Study Record Dates

• First Submitted: June 29, 2022
• First Posted: July 5, 2022
• Study Start: October 1, 2020
• Primary Completion: February 20, 2022
• Study Completion: June 15, 2022
• Last Updated: July 25, 2022

Record last verified: 2022-07

Locations

IT (1)