Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Sarah BADICHE | UNKNOWN |
Not provided
Not provided
Not provided
Not provided
Aneurysmal or occlusive abdominal aortic pathology has seen its prevalence increase over the years despite the various cardiovascular risk factor management campaigns deployed.
Currently, a large proportion of these aortic pathologies require effective and definitive treatment by open surgery. In fact, minimally invasive endovascular treatment, which can provide good results in certain cases, cannot be generalized simply and can even lead to sometimes incomplete treatments requiring even more complex secondary open surgery.
The preoperative assessment before open aortic surgery is relatively well coded with cardiological and respiratory assessments in particular. However, the literature has so far never focused on the overall vision of the patient with a complete functional assessment which would make it possible to consider a specific preoperative fragility scale and would thus give practitioners corrective targets before such an intervention. in order to simplify the patient's post-operative journey by limiting complications.
The investigators therefore propose to collect a certain number of elements already collected in standard care in a systematic and prospective manner in order to create a risk scale. All of these elements being modifiable, they should ultimately make patients more robust for such an intervention.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Open aortic surgery | Patient undergoing open surgery for abdominal aortic aneurysm or abdominal aortic occlusion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Screening of preoperative frailty | Procedure | The day before the surgery, a multimodal evaluation is performed regarding : Cognitive assessment: Mini mental State evaluation (MMSE) test Physical functional assessment: Chair raising Addiction assessment: Fagerstrom Assessment of the social environment: environmental assessment Nutritional assessment: Grip test Quality of life: completion of SF 36 scale and QOR15 scale |
| Measure | Description | Time Frame |
|---|---|---|
| Post operative mortality | Rate of death after surgery | day 30 post operative |
| Major adverse cardiovascular events (MACE) | Rate of nonfatal stroke, nonfatal myocardial infarction and cardiovascular death | day 30 post operative |
| Length of stay | Evaluation of the length of stay in days of the patients | day 30 post operative |
| Home discharged | Rate of patient who need a rehabilitation center after surgery | day 30 post operative |
| Measure | Description | Time Frame |
|---|---|---|
| Respiratory complications | Rate of pneumopathy and need of reintubation or intubation longer than 24h | day 30 post operative |
| Quality of life : 36-item Short-Form Health Survey | Evaluation of post-operative quality of life compared to pre-operative data with 36-item Short-Form Health Survey |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Toulouse university hospital, vascular surgery department | Recruiting | Toulouse | 31059 | France |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D001014 | Aortic Aneurysm |
| ID | Term |
|---|---|
| D000783 | Aneurysm |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D001018 | Aortic Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
|
| day 30, 3 months, 6 months, 1 year |
| Quality of life : Quality of Recovery-15 | Evaluation of post-operative quality of life compared to pre-operative data with Quality of life Quality of Recovery-15 | day 30, 3 months, 6 months, 1 year |