Postoperative Complications Clinical Trial
— POWER3Official title:
Postoperative Outcomes Within an Enhanced Recovery After Bariatric Surgery Protocol POWER3
Methods National audit of a 90-day prospective observational cohort in which pre-defined
postoperative complications were analyzed at 30 days of follow-up in adult patients
undergoing elective bariatric surgery with or without an intensified recovery program (ERAS:
Enhanced Recovery after Surgery) with any level of protocol compliance (0-100%)
Research Places Spanish Hospitals where this surgical intervention is carried out.
Objectives To determine the incidence of postoperative complications per patient and
procedure, regardless of the degree of adherence to ERAS protocols and its impact on the
hospital stay and postoperative complications including 30-day mortality.
Sample size For an alpha error of 5% (95% confidence) and an accuracy of 3% and estimating a
number of patients with complications of 11%, the sample size calculation yields 460
patients, although the final sample size it may be smaller depending on the proportion of
complications detected.
Inclusion criteria Patients older than 18 years who are going to be electively operated on
for bariatric surgery regardless of their adherence to an ERAS intensified recovery program
and the compliance level of the protocol (from 0-100%)
Statistical analysis Continuous variables will be described as mean and standard deviation,
if it is a normal distribution, or median and interquartile range, if they are not normally
distributed. Comparisons of continuous variables will be performed by one-way ANOVA or the
Mann-Whitney test, as appropriate. A univariate analysis will be performed to test the
factors associated with postoperative complications, hospital stay and death in the hospital.
Univariate analyzes and hierarchical multivariate logistic regression models will be
constructed to identify factors associated independently with these results and to adjust for
differences in confounding factors. The factors will be introduced in the models based on
their relationship with the univariate result (p <0.05), the biological plausibility and the
low rate of missing data.
Status | Not yet recruiting |
Enrollment | 460 |
Est. completion date | March 22, 2020 |
Est. primary completion date | February 22, 2020 |
Accepts healthy volunteers | |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - All adult patients (aged =18 years) undergoing elective bariatric surgery and by any approach (Includes surgery with laparoscopic, assisted laparoscopic approach or open approach) in a participating hospital during the 30-day cohort period with a planned overnight stay. Exclusion Criteria: - Patients undergoing emergency surgery - Endoscopic procedures - Patients under 18 years of age - Patients with previous bariatric surgery who undergo revision surgery - Patients who refuse to participate |
Country | Name | City | State |
---|---|---|---|
Spain | Complejo Hospitalario Universitario de A Coruña | A Coruna | Coruña |
Spain | Hospital Universitario Príncipe de Asturias | Alcalá de Henares | Madrid |
Spain | Hospital Universitario Fundación Alcorcón | Alcorcón | Madrid |
Spain | Hospital Virgen de los Lirios de Alcoy | Alcoy | Alicante |
Spain | Hospital Universitario de Cruces | Baracaldo | Bizkaia |
Spain | Hospital Clínic Universitat de Barcelona | Barcelona | |
Spain | Hospital Universitario Sant Pau | Barcelona | |
Spain | Hospital Universitario Vall d´Hebrón | Barcelona | |
Spain | Hospital Universitario de Burgos | Burgos | |
Spain | Hospital Universitario Puerta del Mar | Cadiz | Cádiz |
Spain | Hospital General Universitario de Castellón | Castellon de la Plana | Castellón |
Spain | Hospital General Universitario de Ciudad Real | Ciudad Real | |
Spain | Hospital General Universitario de Elche | Elche | Alicante |
Spain | Hospital Universitario de Fuenlabrada | Fuenlabrada | Madrid |
Spain | Hospital Universitario Getafe | Getafe | Madrid |
Spain | Hospital Universitario de Guadalajara | Guadalajara | |
Spain | Hospital Universitario Jerez de La Frontera | Jerez de La Frontera | Cádiz |
Spain | Hospital Universitario de Gran Canaria Doctor Negrín | Las Palmas | |
Spain | Hospital Universitario Insular de Gran Canaria | Las Palmas de Gran Canaria | |
Spain | Hospital Clínico San Carlos | Madrid | |
Spain | Hospital de La Princesa | Madrid | |
Spain | Hospital General Universitario Gregorio Marañón | Madrid | |
Spain | Hospital Universitario 12 de Octubre | Madrid | |
Spain | Hospital Universitario Infanta Leonor | Madrid | |
Spain | Hospital Universitario La Paz | Madrid | |
Spain | Hospital Universitario Ramón y Cajal | Madrid | |
Spain | Hospital Universitario Puerta de Hierro | Majadahonda | Madrid |
Spain | Hospital Universitario Virgen del Victoria de Málaga | Malaga | Málaga |
Spain | Hospital Costa del Sol | Marbella | Málaga |
Spain | Hospital General Mateu Orfila | Menorca | |
Spain | Hospital de Mérida | Mérida | Badajoz |
Spain | Hospital Rey Juan Carlos | Mostoles | Madrid |
Spain | Hospital Universitario de Móstoles | Mostoles | Madrid |
Spain | Hospital General Universitario José María Morales Messeguer | Murcia | |
Spain | Hospital Universitario Central de Asturias | Oviedo | Asturias |
Spain | Complejo Hospitalario y Universitario de Pontevedra | Pontevedra | |
Spain | Hospital Universitario Quirón Madrid | Pozuelo de Alarcon | Madrid |
Spain | Hospital Universitario Parc Tauli | Sabadell | Barcelona |
Spain | Hospital de Sant Joan Despí Moisès Broggi | Sant Joan d'Espi | Barcelona |
Spain | Hospital Universitario Marqués de Valdecilla | Santander | |
Spain | Hospital Universitario Virgen de Valme | Sevilla | |
Spain | Hospital Universitario Virgen Macarena | Sevilla | |
Spain | Complejo Hospitalario de Toledo | Toledo | |
Spain | Hospital Universitario de Torrejón | Torrejon de Ardoz | Madrid |
Spain | Hospital Clínico Universitario de Valencia | Valencia | |
Spain | Hospital General Universitario de Valencia | Valencia | |
Spain | Hospital Universitario La Fe | Valencia | |
Spain | Hospital Clínico de Valladolid | Valladolid | |
Spain | Hospital Universitario Río Hortega | Valladolid | |
Spain | Hospital Universitario de Vic | Vic | Barcelona |
Spain | Hospital Universitario de Álava | Vitoria | |
Spain | Hospital Clínico Universitario Lozano Blesa | Zaragoza | |
Spain | Hospital Universitario Miguel Server | Zaragoza |
Lead Sponsor | Collaborator |
---|---|
Grupo Español de Rehabilitación Multimodal | REDGERM, Sociedad Española de Cirugía de la Obesidad |
Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Predefined mild-moderate-severe postoperative complications | Standards for definitions and use of outcome measures for clinical effectiveness research in perioperative medicine were published by the European Perioperative Clinical Outcome (EPCO) definitions. Infectious complications, cardiovascular complications and other types of complications. Each complication will be graded as mild, moderate or severe. | 30 days after surgery | |
Secondary | In-hospital all-cause mortality | The percentage of deaths within 30 days of surgery will be reported for each surgical category | 30 days after surgery | |
Secondary | ERAS Compliance | Overall compliance will be calculated as the average of all pre- and intraoperative ERAS adapted elements, as specified in the ERAS society bariatric guidelines ERAS patients' guideline compliance will be categorised into quartiles | 30 days after surgery | |
Secondary | Duration of hospital stay | The median hospital length of stay (LOS) following the start of surgery, overall, by survival status and by complication status will be reported. Post-operative LOS is the duration in days from the date of the end of surgery to the date of discharge from hospital. | 30 days after surgery |
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