Perioperative Care Clinical Trial
— PeriAgeOfficial title:
Improvement of Perioperative Care of Elderly Patients
Verified date | May 2021 |
Source | Universitätsklinikum Hamburg-Eppendorf |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The focus of this study is the development of a perioperative treatment concept for elderly patients, based on individual necessities and risk factors, aiming to improve patient outcome. The planned interventions include preoperative screening for malnutrition, frailty and uncalled-for long-term medication, if required followed by early prophylaxis and treatment of these risk factors, prior to or during surgery.
Status | Completed |
Enrollment | 310 |
Est. completion date | May 14, 2020 |
Est. primary completion date | May 14, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years and older |
Eligibility | Inclusion Criteria: - Age >64 years - Written informed patients consent - forthcoming elective surgery - Time interval from inclusion to appointed surgery at least 5 days Exclusion Criteria: - Refusal of consent - Illiteracy - Poor knowledge ofGerman language - Mental disability - Vision handicap (not corrected) - Hearing handicap (not corrected) - Benzodiazepine abuse - Drug/ substance abuse - Psychosis - Parkinson disease - Emergency surgery - Planned postoperative ICU treatment - Planned inpatient stay 1 night - Cerebral surgery - Ophthalmological surgery |
Country | Name | City | State |
---|---|---|---|
Germany | Department of Anaesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf (UKE) | Hamburg |
Lead Sponsor | Collaborator |
---|---|
Universitätsklinikum Hamburg-Eppendorf |
Germany,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Quality of delivery of the intervention components | Continuous documentation of which intervention components were delivered by the clincal staff with a standardized checklist | 6 months | |
Other | Experience of staff with intervention components | Qualitative interviews with the clinical staff on acceptability, feasibility, barriers, and facilitators of the intervention | 6 months | |
Other | Mobility | Timed Up&Go-Test | Evaluation preoperatively, 1 month, 6 months after surgery | |
Other | Physical fitness | Sit-to-stand- Test | Evaluation preoperatively, 1 month, 6 months after surgery | |
Other | Grip strength | Measurement by Vigorimeter | Evaluation preoperatively, at 2-5 days, 1 month, 6 months after surgery | |
Other | Frailty | LUCAS (Longitudinale Urbane Cohorten Alters - Studie) functional Index | Evaluation preoperatively and 6 months after surgery | |
Other | Mental Health | Geriatric Depression Scale (GDS) by Yesavage: a 15-item self-report assessment used to detect depression in the elderly | Evaluation preoperatively, 1 month, 6 months after surgery | |
Primary | Functional abilities | Change in functional abilities from baseline, evaluated by Instrumental Activities of Daily Living (IADL) score | Evaluation preoperatively, 1 month, 6 months after surgery | |
Secondary | Cognitive impairment | DemTect: cognitive screening instrument, sensitive to the early symptoms of dementia | Evaluation preoperatively, at 2-5 days, 1 month, 6 months after surgery | |
Secondary | Attention and task switching | The Trail Making Test A&B (TMT A&B): a neuropsychological test of visual attention and task alternation | Evaluation preoperatively, at 2-5 days, 1 month, 6 months after surgery | |
Secondary | Attentional capabilities | TAP Alertness: a computerized, standardized neuropsychological test for attentional performance. | Evaluation preoperatively, at 2-5 days, 1 month, 6 months after surgery | |
Secondary | Health related quality of life | Measured by a 12-item short-form (SF-12) Health Survey | Evaluation preoperatively, 1 month, 6 months after surgery | |
Secondary | Hospital length of stay | Day of admission until day of discharge | 1 month | |
Secondary | Postoperative complications | Incidence of postoperative complications | Evaluation evaluation of complications at 2-5 days, 1 month, 6 months after surgery |
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