The Effect of Nutritional Status on Postoperative Mortality and Morbidity in the Geriatric Population Undergoing Gastrointestinal Surgery

Republic of Turkey Ministry of Health

Status: Active, not recruiting

Conditions: Geriatric Anesthesia; Nutrition Assessment

Treatments: Other: Preoperative Risk Scoring; Other: Delirium Assessment Protocol; Other: Postoperative Morbidite and Mortality Monitoring

Study type: Observational

Funder types: Other

Identifiers

NCT07374055

KARTALANESTEZİ088

Details and patient eligibility

About

The purpose of this study was to compare the sensitivity and specificity of the Geriatric Nutritional Risk Index (GNRI), Mini Nutritional Assessment Scale-Short Form (mNA-SF) and Systemic Immune-Inflammatory Index (SII) values calculated in the preoperative evaluation in patients over 65 years of age who underwent gastrointestinal surgery, in predicting morbidity and mortality in the postoperative period.

Full description

It is crucial to evaluate the impact of nutritional status and systemic inflammation markers on postoperative outcomes in geriatric patients undergoing gastrointestinal surgery.

Nutritional status has a decisive impact on the development of morbidity and mortality in geriatric patients. The risk of malnutrition is particularly high in the geriatric patient population undergoing gastrointestinal surgery. Predicting postoperative outcomes in these patient groups is becoming increasingly important. To this end, many different risk scoring systems have been developed.

Low nutritional scores and increased inflammatory responses are associated with high mortality, prolonged hospitalization and intensive care unit stays, and complications. The primary goal of preoperative risk scoring is to predict potential complications before, during, and after surgery, and to minimize risks and mortality by attempting to prevent them.

Enrollment: 200 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients scheduled to undergo gastrointestinal surgery.

Age 65 years and older.

ASA (American Society of Anesthesiologists) physical status class 3 or 4.

Mini-Mental State Examination (MMSE) score of 21 or higher

Exclusion criteria

• Patients who do not consent to participate in the study.

Patients with acute infection during the preoperative period.

Patients who received albumin replacement in the preoperative period.

Patients with a Mini-Mental State Examination (MMSE) score below 21.

Trial design

200 participants in 1 patient group

Geriatric Gastrointestinal Surgery Patients.

Description:

This group consists of 200 geriatric patients aged 65 and older who are scheduled to undergo gastrointestinal surgery. Participants are within the ASA 3-4 risk groups and must have a Mini-Mental State Examination (MMSE) score of 21 or higher to be included.

Treatment:

Other: Postoperative Morbidite and Mortality Monitoring

Other: Delirium Assessment Protocol

Other: Preoperative Risk Scoring