Health TrialsbyHealthPanel

Hybrid III Trial of Automated Referral to Comprehensive Geriatric Assessment for Frail Older Surgical Patients

ConditionsElective SurgeryFrail Elderly
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age80+
SponsorUniversity of Wisconsin, Madison

About this trial

The goal of this observational study is to learn about automated referrals to Perioperative Optimization of Senior Health (POSH). The main question it aims to answer is:

* Do automated referrals to POSH increase the number of people who attend the clinic?

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 80 or older

Scheduled for an elective surgery with a planned overnight stay

Scores indicate frailty

Disqualifiers

Scheduled for transplant or cardiothoracic surgery

Undergoing emergency or urgent surgery

POSH clinic evaluation within the past 6 months

Trial design

Design model

Parallel

Treatments tested in this trial

  • Automated referral

    Device

    Participants who screen for frailty (using the frailty score calculator device embedded in the EHR) will receive an automated referral to POSH clinic through their electronic health record.

  • Usual Care Group

    Other intervention

    Surgeons will be notified of frailty score (as calculated using the frailty score calculator device embedded in the EHR). Surgeons can choose to refer patients directly to POSH.

Treatment groups

90 Participants
are divided into 2 treatment groups
Group A: Automated referralsExperimental treatment 1 intervention
Group B: Usual careActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Number of participants who attend POSH

The number of eligible participants who attend POSH will be compared across arms.

Time frame
90 days
2

Number of surgeons who refer to POSH

The number of surgeons who refer patients to POSH will be compared to those in the same clinical departments for both arms.

Time frame
90 days

Secondary outcomes

1

Anticholinergic Burden Score

Anticholinergic Burden (ACB) score measures the degree to which the patient's prescribed medications block the neurotransmitter acetylcholine. Median scores will be compared for the intervention and control groups. Higher scores in older adults correlate with increased risks of confusion, functional impairment, falls, and mortality.

Time frame
90 days
2

Documentation of preoperative cognitive status

Number of eligible participants will be compared with number who have documented cognitive status according to a validated cognitive screening instrument.

Time frame
90 days
3

Physical therapy (PT) referrals

The number of eligible participants compared to participants who receive a PT referral.

Time frame
90 days
4

Advanced care planning (ACP) on file

Number of participants with ACP on file before surgery will be compared to number of eligible participants.

Time frame
90 days

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Wisconsin, Madison

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: