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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, the Clinical Frailty Scale and the Charlson comorbidity index will be calculated.
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.
Once this data are collected, the following objectives will be met:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Abdominal surgery | POSSUM, the P-POSSUM, the Clinical frailty scale, and the Charlson comorbidity index will be calculated and compared to the outcomes obtained in our center. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| POSSUM | Diagnostic Test | These scales will be calculated and compared to the outcomes obtained in our center. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Validate the POSSUM and P-POSSUM systems in patients undergoing gastrointestinal surgery | To compare the estimated morbidity and mortality with that observed. | 30 days after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Analyze the correlation of estimated morbidity and mortality of the POSSUM and P-POSSUM with respect to that observed in scheduled surgery vs. emergencies. | To compare the estimated morbidity and mortality with that observed. | 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 |
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Inclusion Criteria:
Exclusion Criteria:
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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.
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| Name | Affiliation | Role |
|---|---|---|
| Ángel Becerra, MD PhD | Hospital Universitario de Gran Canaria Doctor Negrín | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ángel Becerra | Las Palmas de Gran Canaria | Las Palmas | 35019 | Spain |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 1, 2021 | Oct 27, 2025 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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To compare the estimated morbidity and mortality with that observed |
| 30 days after surgery. |