Chief Investigators

Javier Ripollés-Melchor. Spanish Perioperative Audit and Research Network. REDGERM. Infanta Leonor University Hospital, Madrid, Spain
José M Ramírez-Rodríguez. Spanish Perioperative Audit and Research Network. REDGERM. Lozano Blesa University Hospital, Zaragoza, Spain

Study funders

Grupo Español de Rehabilitación Multimodal (GERM) and Spanish Perioperative Audit and Research Network (REDGERM)

Aims of the Study

To provide detailed data describing post-operative complications and associated mortality
To provide detailed data describing adherence to ERAS protocol and its association to morbidity and length of stay.
To provide detailed information on the influence of the volume of patients undergoing surgery on each centerand postoperative complications censured at 30 days after surgery.

 

Endpoints

Primary outcome measure
All predefined postoperative complications within 30 days after surgery, including complications that occurred before hospital discharge and those that happened after discharge and required in-hospital care. Complications will be evaluated through the patient’s medical records. Postoperative complications are defined according standards for definitions and use of outcome measures for clinical effectiveness research in perioperative medicine (EPCO)
Secondary outcome measures
• In-hospital all-cause mortality (censored at 30 days following surgery)
• Compliance with ERAS items (within 30 days following surgery).  For a description of ERAS items. Compliance of an individual component will be presented as a binary relationship yes / no. While overall compliance will be reported as a percentage: number of interventions fulfilled/total number of perioperative interventions evaluated.
• Duration of hospital stay (duration of primary hospital stay after surgery).

 

What will happen in this study (methods)?

To assess the incidence of 30-day postoperative predefined complications following elective colorectal surgery within any compliance of an ERAS protocol (including patients with 0 compliance) in European centres.The proposed study will establish a real view of the number of patients presenting postoperative complications that will overcome the limitations of available retrospective studies and provide greater insight into the items of the protocols that are associated with decreased complications; on the other hand, our hypothesis is that the number of patients who develop predefined postoperative complications within 30 days of surgery decreases as there is greater compliance with the predefined ERAS protocol items. EuroPOWER is a 30 days European Multicentre observational cohort study of postoperative complications following elective colorectal surgery within any compliance of an ERAS protocol (including patients with 0 compliance) in a participating hospital during the 30-day cohort period with a planned overnight stay.

 

Who can participate and how will they benefit from taking part?

All the European centers are invited to participate. All collaborators will be recognized as collaborators in all publications derived from EuroPOWER. There is no economic compensation.

 

What are the next steps for potential participants?

Participating sites should contact with the National Coordinators or suscribe interest in this website.
For access to the online database platform we will need the name of the principal investigator and his email and the name of the center

 

What is the timescale?

EuroPOWER starts in October 2019. The one-month recruitment period in each center can be selected within a period of 6 months from October 2019 to March 2020.

 

How will the results be disseminated?

The results will be published in indexed peer reviewed journals.

 

Steering Committee