Colorectal Emergencies in Elderly Patients.

• Sponsor: University of Foggia (Other)
• Overall Status: Completed
• CT.gov ID: NCT05443386
• Collaborator: (none)
• Enrollment: 32
• Location: 1
• Actual Duration (Months): 20.4
• Patients Per Site Per Month: 1.6

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Emergency Colorectal Surgery in Ultra 80 Patients	Procedure: colorectal surgery

Study Design

• Study Type: Observational
• Actual Enrollment: 32 participants
• Observational Model: Cohort
• Time Perspective: Retrospective
• Official Title: Emergency Surgery for Colon Diseases in Elderly Patients. Analysis of Complications, and Postoperative Course
• Actual Study Start Date: Oct 1, 2020
• Actual Primary Completion Date: Feb 20, 2022
• Actual Study Completion Date: Jun 15, 2022

Outcome Measures

Primary Outcome Measures

1. postoperative hospital stay [30 days]

Secondary Outcome Measures

1. postoperative complications [30 days]

Eligibility Criteria

Criteria

• Ages Eligible for Study: 80 Years and Older
• Sexes Eligible for Study: All

Inclusion Criteria:

• age older than eighty

• emergency conditions

Exclusion Criteria:

• trauma cases

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Policlinico Di Foggia	Foggia		Italy	71122

Sponsors and Collaborators

• University of Foggia

Investigators

None specified.

Study Documents (Full-Text)

• Study Protocol - Jun 25, 2022

More Information

Publications

None provided.

• Responsible Party: Mario Pacilli, Principal Investigator, University of Foggia
• ClinicalTrials.gov Identifier: NCT05443386
• Other Study ID Numbers: UFoggia1
• First Posted: Jul 5, 2022
• Last Update Posted: Jul 25, 2022
• Last Verified: Jul 1, 2022

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Additional relevant MeSH terms: Emergencies

Study Results

No Results Posted as of Jul 25, 2022