| Objective: |
Primary outcome measure
To evaluate the prevalence and degree of frailty in a population of patients undergoing programmed or emergency surgical interventions that require hospital admission.
Secondary outcome measures
Secondary objectives
To evaluate global frailty prevalence by age groups.
To evaluate the association between the presence and degree of frailty, and postoperative complications, hospital stay and 30-day mortality.
To describe the relationship between the degree of frailty and quality of life 30 days after surgery.
To describe the association between frailty and postoperative cognitive disorder and delirium by age groups.
To evaluate if the routine implementation of a preoperative prehabilitation program in the subgroup of patients programmed for surgery and its relationship with frailty and postoperative outcomes.
To evaluate the routine implementation of early rehabilitation measures in surgical patients and its relationship with frailty and postoperative outcomes.
To describe the relationship between each predefined item of prehabilitation and postoperative rehabilitation with clinical outcomes, including complications, hospital stay and quality of life at 30 days. |
| Aim: |
To identify the prevalence and severity of frailty in patients undergoing elective as well as urgent surgeries.
To identify whether the application of perioperative prehabilitation programs is associated with an improvement in the frailty state and in the clinical outcomes 30 days after surgery.
To identify postoperative complications in frail patients both at a national level and an international level.
To identify the differences in postoperative quality of life 30 days after surgery between frail and non-frail patients, and between the different degrees of frailty after urgent and elective surgery.
Overall, a high international participation is anticipated. Therefore, the obtained data will allow not only to clearly define the prevalence of frailty in different age groups, in different types of surgery and in urgent or elective surgery, but also to identify which are the key elements to patients’ recovery of a prehabilitation or posthabilitation program as well as to establish which patients could benefit most of the aforementioned programs. Additionally, it will identify those areas of knowledge that need further study. |
| Methods: |
Prospective, multicenter, observational study |
| Reason for International Trial: |
As many patients as possible are needed |