Frailty assessment tools and associated postoperative outcomes in older patients undergoing elective surgery: A prospective pilot study.
Luis G Rabelo, Anna Bjornsdottir, Anna B Jonsdottir...
https://pubmed.ncbi.nlm.nih.gov/36307919Actively Recruiting
Age: 70Years +
All Genders
Healthy Volunteers
ID07452263
Modified Essential Frailty Toolset for Predicting Postoperative Complications and Readmission in Older Adults Undergoing Major Elective Surgery
Led by University of Iceland · Updated on 2026-03-10
250
Participants Needed
1
Research Sites
30 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Frailty is a common condition in older adults associated with reduced physical reserve and higher risk from surgery. As more elderly people have major elective surgeries, frailty is often not well assessed, and no standard screening tool is widely used. The Essential Frailty Toolset (EFT) is a simple assessment with strong prediction for complications and death after cardiac surgery. A modified version, the mEFT, was created to be easier and faster to use in a wider range of surgeries but has not yet been studied in elderly patients having major elective non-cardiac surgery. This research will evaluate the mEFT, which measures physical function, thinking ability, nutrition, and anemia in just a few minutes. It assigns points based on tests like the Timed Up and Go (TUG) test, the Clock Drawing Test (CDT), body mass index or recent weight loss, and hemoglobin levels. Patients 70 years or older scheduled for major elective surgery will be screened before surgery. Those scoring 3 or more on the mEFT are considered frail, while others form a control group. Participants will undergo surgery with routine care while researchers monitor for complications up to 30 days after surgery and readmissions up to 90 days. Additional outcomes include length of hospital stay, mortality up to 180 days, and discharge to non-home settings. This study aims to see if the mEFT can help identify patients at higher risk, improving preoperative decisions and care planning for older adults having major surgery.
CONDITIONS
Brief Title
Modified Essential Frailty Toolset in Older Adults Undergoing Major Elective Surgery
Who Can Participate
Age: 70Years +
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- Patients 70 years or older who present for preoperative work-up at the admissions department and undergo frailty screening
- Patients assigned to undergo major elective surgery
You will not qualify if you...
- Cardiac surgery patients
- Patients not undergoing planned surgery
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person) for preoperative assessment including frailty screening
Surgery
Duration - Day of surgery
Participants undergo major elective surgery at Landspítali University Hospital.
1 visit (in-person) on the day of surgery
Post-operative Follow-up
Duration - Up to 180 days post surgery
Participants are monitored for surgical complications and readmission up to 90 days after surgery, and for other outcomes such as length of hospital stay, mortality, and discharge status up to 180 days.
Follow-up visits as part of routine care up to 180 days post surgery
Trial Site Locations
Total: 1 location
1
Landspitali University hospital
Reykjavik, Hofudborgarsvaedid, Iceland, 101
Actively Recruiting
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Research Team
M
Martin I Sigurdsson, MD, PhD
L
Luis G Rabelo, MD
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
1
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