Complications of Surgical Geriatrics Hospitalized in the Orinoco Region

NCT07372092 | Not Yet Recruiting

• 1 other identifier: GRIVI_2026_01_SURG_GERIATRICS
• Study Type: observational
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

The life expectancy of the Colombian population is increasing. Older patients are frequently hospitalized and treated in surgical wards, and are treated as the general surgical population. However, geriatric patients are frequently found with additional comorbidities, besides the primary surgical diagnosis. Some diseases, like hip fractures, diverticulitis, and cancer, are common in this age range. The preoperative, intraoperative, and postoperative period requires a special care and planning to avoid complications related to the physical status, medications, and comorbidities. Studies about the geriatric surgical population are limited in the Orinoco region. The implementation of a comprehensive geriatric assesment in surgical services requires follow-up of outcomes.

Conditions

Aged; Aged 65 Years or Older; Geriatric; Geriatric Assessment; Postoperative Care; Postoperative Complications; Operative Surgical Procedures

Keywords

Operative Surgical Procedures; Aged; Geriatrics; Geriatric Assessment; Postoperative Care; Postoperative Complications

Outcome Measures

Primary Outcomes (1)

• Mortality

  All-cause mortality within 28 days of the surgical procedure

  28 days

Secondary Outcomes (1)

• Complications

  28 days

Study Arms (2)

First period

Period previous to the implementation of the geriatric surgical program

Other: Hip fractures

Second period

Period posterior to the implementation of a geriatric surgical program

Interventions

Hip fractures OTHER

Geriatric patients with surgical operations for hip fractures or colonic diverticular disease previos or posterior to the implementation of a geriatric surgical program

First period

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All adults discharged from the surgical wards in the study period.

You may qualify if:

• Adults
• Hospitalized in the surgical ward
• Surgical procedures

You may not qualify if:

• Derived to other institution
• Operated previously in other institution

Sponsors & Collaborators

• Hospital Departamental de Villavicencio: lead
• Cooperative University of Colombia: collaborator

Study Sites (1)

Hospital Departamental de Villavicencio

Villavicencio, Meta Department, 50001, Colombia

Location

Related Publications (8)

• Pugliese M, Connell L, Turco J, Trivedi A, Foster A, Kumarasinghe APW. Implementation of a geriatric in-reach service improves acute surgical unit outcomes; a retrospective before-and-after study. ANZ J Surg. 2024 Jul-Aug;94(7-8):1349-1355. doi: 10.1111/ans.19026. Epub 2024 May 10.

  PMID: 38727023 BACKGROUND

• Sagona A, Ortega CA, Wang L, Brameier DT, Selzer F, Zhou L, von Keudell A. Frailty Is More Predictive of Mortality than Age in Patients With Hip Fractures. J Orthop Trauma. 2024 Aug 1;38(8):e278-e287. doi: 10.1097/BOT.0000000000002844.

  PMID: 39007664 BACKGROUND

• Ding L, Tao X, Zhou J. Effect of a comprehensive geriatric assessment-based individualized intervention on postoperative patients with cerebral hemorrhage: A randomized controlled study. Technol Health Care. 2024;32(3):1555-1567. doi: 10.3233/THC-230611.

  PMID: 38073343 BACKGROUND

• Jones TS, Peters X, Robinson TN. Clin-STAR corner: Practice-changing advances at the interface of surgery and geriatrics. J Am Geriatr Soc. 2024 Jul;72(7):1959-1963. doi: 10.1111/jgs.18783. Epub 2024 Jan 27.

  PMID: 38280226 BACKGROUND

• Boukebous B, Biau D, Gao F. AtoG: A simple score to predict complications and death after hip fractures, in line with the comprehensive geriatric assessment. Orthop Traumatol Surg Res. 2024 May;110(3):103827. doi: 10.1016/j.otsr.2024.103827. Epub 2024 Jan 26.

  PMID: 38280714 BACKGROUND

• Arcidiacono GP, Ceolin C, Sella S, Camozzi V, Bertocco A, Torres MO, Roda MG, Cannito M, Berizzi A, Romanato G, Venturin A, Cianci V, Pizziol A, Pala E, Cerchiaro M, Savino S, Tessarin M, Simioni P, Sergi G, Ruggieri P, Giannini S; Hip-POS working group. Taking care of inpatients with fragility hip fractures: the hip-padua osteosarcopenia (Hip-POS) fracture liaison service model. J Endocrinol Invest. 2025 Jan;48(1):99-108. doi: 10.1007/s40618-024-02425-z. Epub 2024 Jul 6.

  PMID: 38971949 BACKGROUND

• Choi JY, Park JW, Kim KI, Lee YK, Kim CH. Prediction of 5-Year Survival Rate After Hip Fracture Surgery Using a Comprehensive Geriatric Assessment-Based Frailty Score Model. J Korean Med Sci. 2025 Mar 31;40(12):e40. doi: 10.3346/jkms.2025.40.e40.

  PMID: 40165573 BACKGROUND

• Jimenez-Mola S, Plaza-Carmona M, Idoate Gil FJ, Saez-Lopez P, Fernandez Garcia P, Seco-Calvo J. Functional decline in nonagenarians admitted for hip fracture. Rev Assoc Med Bras (1992). 2025 Mar 17;71(1):e20240796. doi: 10.1590/1806-9282.20240796. eCollection 2025.

  PMID: 40105545 BACKGROUND

MeSH Terms

Conditions

Postoperative Complications

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Norton Perez

  Hospital Departamental de Villavicencio

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Norton Perez, MD

CONTACT

+573112517471; norton.perez@hotmail.com

Emma I Rodriguez Darabos, MSc

CONTACT

3112517538; norton.perez@hotmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: ICU director

Study Record Dates

• First Submitted: January 20, 2026
• First Posted: January 28, 2026
• Study Start (Estimated): August 1, 2026
• Primary Completion (Estimated): July 31, 2027
• Study Completion (Estimated): December 31, 2027
• Last Updated: January 28, 2026

Record last verified: 2026-01

Locations

CO (1)