An observational study in Aortic Aneurysm and Aortic Occlusion, sponsored by University Paul Sabatier of Toulouse. Recruiting at 1 site in France. Per ClinicalTrials.gov, last updated 2024-01-11.
Sponsored by University Paul Sabatier of Toulouse · Observational
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.
Exclusion Criteria:
Patient undergoing open surgery for abdominal aortic aneurysm or abdominal aortic occlusion
Procedure: Screening of preoperative frailty
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
Post operative mortality
Rate of death after surgery
Time frame: day 30 post operative
Major adverse cardiovascular events (MACE)
Rate of nonfatal stroke, nonfatal myocardial infarction and cardiovascular death
Time frame: day 30 post operative
Length of stay
Evaluation of the length of stay in days of the patients
Time frame: day 30 post operative
Home discharged
Rate of patient who need a rehabilitation center after surgery
Time frame: day 30 post operative
Respiratory complications
Rate of pneumopathy and need of reintubation or intubation longer than 24h
Time frame: 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
Time frame: 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
Time frame: day 30, 3 months, 6 months, 1 year
Plan to share: Undecided
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University Paul Sabatier of Toulouse