RecruitingNCT07505758

Postoperative Recovery in Elderly Patients Assessed With QoR-15E

Postoperative Quality of Recovery in Elderly Patients Undergoing Elective Surgery With Hospital Admission: a Multicenter Prospective Cohort Study Based on Patient-reported Outcome Measures (PQoRE Study)


Sponsor

Hospital Universitari Vall d'Hebron Research Institute

Enrollment

600 participants

Start Date

Mar 4, 2024

Study Type

OBSERVATIONAL

Conditions

Summary

Postoperative recovery in elderly patients is an important part of the surgical process and affects how patients feel after surgery. To date, recovery has been measured mostly with clinical outcomes, such as complications or length of stay, but not from the patient's perspective. The QoR-15 questionnaire was designed to assess recovery from the patient's point of view and has recently been validated in Spanish as the QoR-15E. This study aims to evaluate postoperative recovery in patients aged 80 years and older undergoing elective surgery with hospital admission, using the QoR-15E questionnaire. Patients will complete the questionnaire before surgery and on postoperative days 1, 2, 7, and 30. Additional assessments will include frailty and delirium scales, and postoperative complications will be recorded. Mortality will be evaluated 90 days after surgery, alongside the patient's subjective perception of their recovery.


Eligibility

Min Age: 80 Years

Inclusion Criteria3

  • Patients aged 80 years or older.
  • Undergoing elective surgery requiring hospital admission.
  • Able to understand and provide written informed consent.

Exclusion Criteria5

  • Inability to speak Spanish.
  • Pre-existing cognitive impairment.
  • Emergency or urgent surgery.
  • Neurosurgical or cardiac surgical procedures.
  • Ambulatory (outpatient) surgery without hospital admission.

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Interventions

DIAGNOSTIC_TESTQoR-15E questionnaire.

A first QoR-15E questionnaire will be completed at baseline (T0) (before surgery). Other QoR-15E questionnaires will be completed at 24h (T1), 48h (T2), day 7 (T3) and day 30 (T4) after surgery.

DIAGNOSTIC_TESTClinical Frailty Scale

The Clinical Frailty Scale will be administered before surgery to determine patients' clinical fragility

OTHERConfusional Assessment Method

We will use the "Confusional Assessment Method" to assess the presence of confusion or delirium in the immediate postoperative period.

OTHERPost-Operative Morbidity Survey

Postoperative morbidity will be collected through the POMS survey.


Locations(4)

Hospital del Mar de Barcelona

Barcelona, Barcelona, Spain

Hospital Universitari Vall d'Hebron

Barcelona, Barcelona, Spain

Hospital Clinic de Barcelona

Barcelona, Barcelona, Spain

Hospital de la Santa Creu i Sant Pau

Barcelona, Barcelona, Spain

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NCT07505758