Predictors of Length of Stay and DAH30 After Elective Minimally Invasive Surgery in Older Adults (HOME-30)

Dmitrii Semenov

Status: Completed

Conditions: Postoperative Recovery

Treatments: Other: No Intervention (Observational Study)

Study type: Observational

Funder types: Other

Identifiers

NCT07377812

HOME30-RETRO

Details and patient eligibility

About

This retrospective observational study aims to evaluate short-term postoperative outcomes in older adults undergoing elective minimally invasive surgery. The primary focus is on patient-centered recovery measures, including length of hospital stay and the number of days patients are alive and at home within 30 days after surgery.

Using routinely collected clinical data, the study will assess demographic, clinical, and perioperative factors associated with delayed discharge and reduced time spent at home after surgery. Understanding these factors may help clinicians and healthcare systems better plan postoperative care and optimize recovery pathways for older surgical patients.

Full description

This is a multicenter, retrospective, observational cohort study designed to identify predictors of short-term postoperative outcomes in older adults undergoing elective minimally invasive surgical procedures.

The study includes patients aged 70 years and older who underwent elective laparoscopic or minimally invasive abdominal surgery. All data are derived exclusively from routinely collected medical records generated during standard clinical care. No study-related interventions, changes in clinical management, or additional patient contacts are performed.

The primary outcomes of interest are length of hospital stay and days alive and at home within 30 days after surgery (HOME-30 / DAH30). Secondary analyses explore the association of demographic characteristics, comorbidities, perioperative factors, and discharge timing with these outcomes.

The study aims to improve understanding of non-medical contributors to prolonged hospitalization in older surgical patients and to support the development of patient-centered outcome measures applicable across different healthcare systems.

Enrollment: 1,000 patients

Sex: All

Ages: 70+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 70 years or older at the time of surgery
• Undergoing elective minimally invasive surgical procedures
• Surgery performed under general anesthesia
• Availability of complete medical records required to assess study outcomes

Exclusion criteria

• Emergency or urgent surgical procedures
• Open (non-minimally invasive) surgery
• Incomplete medical records precluding outcome assessment

Trial design

1,000 participants in 1 patient group

Older Adults Undergoing Elective Minimally Invasive Surgery

Description:

This cohort includes adults aged 70 years and older who underwent elective minimally invasive surgical procedures. The study is retrospective and observational in nature. No interventions were assigned as part of the study; all analyses are based on routinely collected clinical data obtained during standard care.

Treatment:

Other: No Intervention (Observational Study)