Outcome
Type |
Measure |
Description |
Time frame |
Safety issue |
Other |
HELP - Duration of Time |
Cumulative length of time spent with HELP team members |
postoperative day one through postoperative day three |
|
Other |
HELP - Visitation |
Proportion of patients successfully visited by the program |
postoperative day one through postoperative day three |
|
Other |
HELP - Time to Evaluation |
Time until initial HELP evaluation |
postoperative day one through postoperative day three |
|
Other |
Family Intervention - Duration of Time |
Cumulative duration of time spent with family members/caretakers at the bedside |
postoperative day one through postoperative day three |
|
Other |
Family Intervention - Proportion of Daily Tasks Completed |
The proportion of family-based daily tasks successfully completed will be reported |
postoperative day one through postoperative day three |
|
Other |
Family Intervention - Length of Time, Stimulating Activity |
Cumulative length of time spent on prescribed stimulating activities |
postoperative day one through postoperative day three |
|
Other |
Agreement - FAM-CAM and Research-based CAM Assessments |
Agreement will be assessed, via Cohen's kappa, between FAM-CAM and research-based CAM assessments. |
postoperative day one through postoperative day three |
|
Other |
30-Day FAM-CAM Assessments |
Incidence (%) of positive FAM-CAM assessments post-discharge |
day after discharge through 30 days postoperatively |
|
Other |
36-Item Short Form Survey |
Comprehensive survey that reports on overall health, functional status, physical/mental well-being, and pains (score range, for both overall scale and domain subscales: n, 0-100, 0 = worst score and 100 = best score in relation to the general state of health and quality of life) |
30 days after hospital discharge |
|
Other |
PROMIS Cognitive Abilities (Short Form 4a) |
Subjective reporting of cognitive function |
30 days postoperatively |
|
Other |
Hospital Readmission |
Incidence (%) of hospital readmission |
within 30 days after discharge |
|
Primary |
Delirium |
Any positive delirium screen (yes/no) as determined by the long-form Confusion Assessment Method (n, 0-19) |
morning postoperative day one through afternoon of postoperative day three |
|
Secondary |
Delirium Severity |
For any patient with a completed delirium assessment, the associated severity score will be recorded using the Confusion Assessment Method Long Form Severity Score (n, 0-19, with higher number indicating more severe delirium) |
morning postoperative day one through afternoon of postoperative day three |
|
Secondary |
Depressive Symptoms as Assessed by Hospitalized Anxiety and Depression Scale (HADS-D) |
Incidence (%) of positive screens (score =8) using the Hospitalized Anxiety and Depression Scale (HADS-D) (n, 0-21, 0 = normal, 21 = presence of severe depression symptoms) |
baseline through postoperative day 2 |
|
Secondary |
Anxiety Symptoms as Assessed by Hospitalized Anxiety and Depression Scale (HADS-A) |
Incidence (%) of positive screens (score =8) using the Hospitalized Anxiety and Depression Scale (HADS-A) (n, 0-21, 0 = normal, 21 = presence of severe anxiety symptoms) |
baseline through postoperative day 3 |
|
Secondary |
Falls |
Proportion of patients in each group (%) experiencing at least one fall |
morning postoperative day one through afternoon of postoperative day three |
|
Secondary |
Length of Hospital Stay |
Total number of days (n) spent in the hospital, up to 30 days |
morning of surgery until day of hospital discharge, up to 30 days |
|
Secondary |
Discharge Disposition |
Proportion of patients in each group (%) discharged somewhere other than home (e.g., Long-Term Care Facility), up to 30 days |
day of hospital discharge, up to 30 days |
|
Secondary |
Delayed Discharge - Cognitive Impairment |
Proportion of patients in each group (%) experiencing delayed discharge, with the documented reason as cognitive impairment |
day of hospital discharge, up to 30 days |
|
Secondary |
New Non-surgical Site Infection |
Incidence (%) of any new non-surgical site infection while hospitalized |
morning of surgery until day of hospital discharge, up to 30 days |
|
Secondary |
Multidrug Resistant Organism Colonization |
Incidence (%) of any new multidrug resistant organism colonization |
morning postoperative day one through 30 days after surgery |
|
Secondary |
Mortality |
Incidence (%) |
within 30 days after surgery |
|