Predicting who will need ICU care after cancer surgery
Comparison of ASA, SORT, CACI, and P-POSSUM Scores for Predicting Postoperative Intensive Care Unit Requirement in Patients Undergoing Oncologic Surgery
Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital · NCT07542925
This study will test common risk scores to see if they can predict which adult cancer surgery patients will need ICU care after their operation.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 500 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital (other) |
| Locations | 1 site (Ankara) |
| Trial ID | NCT07542925 on ClinicalTrials.gov |
What this trial studies
This prospective observational cohort will enroll 500 adult patients undergoing elective or emergency oncologic surgery at a single tertiary oncology center. Investigators will record preoperative demographics and clinical data, intraoperative variables, and perioperative factors using a standardized form and capture functional and nutritional measures such as ECOG, NRS-2002, and preoperative serum albumin. Several perioperative risk scores (ASA, SORT, age-adjusted CACI, and P-POSSUM) will be calculated and their performance for predicting planned and unplanned postoperative ICU admission compared using discrimination and calibration metrics. Findings aim to identify which instruments best predict ICU requirement to inform perioperative planning and critical-care resource allocation.
Who should consider this trial
Good fit: Adults (age ≥18) scheduled for elective or emergency oncologic surgery at the enrolling center who can provide written informed consent are the intended participants.
Not a fit: Patients already requiring continuous ICU care before the current surgery, pediatric patients under 18, or those treated outside the enrolling center are unlikely to receive direct benefit from this study's predictions.
Why it matters
Potential benefit: If successful, clinicians could more accurately identify patients who need postoperative ICU care, improving patient safety and helping hospitals allocate critical care beds more efficiently.
How similar studies have performed: While ASA, SORT, Charlson indices and P-POSSUM have been used to predict surgical risk and outcomes, prospective head-to-head comparisons specifically for postoperative ICU requirement in oncologic populations are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients aged 18 years and older. * Patients scheduled for elective or emergency oncologic surgery. * Patients who are able to provide written informed consent. * Patients whose data will be analyzed for both planned and unplanned intensive care unit (ICU) admissions. Exclusion Criteria: * Patients under 18 years of age. * Patients requiring continuous ICU follow-up due to a pre-existing critical illness prior to the current surgery. * Patients who do not provide consent to participate in the study.
Where this trial is running
Ankara
- Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital — Ankara, Turkey (Türkiye) (RECRUITING)
Study contacts
- Study coordinator: Busra Uslu YAMAN
- Email: buslu.1995@gmail.com
- Phone: +905068321017
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Neoplasms, Postoperative Complications, Perioperative/Postoperative Complications, Intensive Care Units