The Perioperative Pathway for Older Adults
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age65+
SponsorÖrebro University, Sweden
About this trial
More than 1.5 million people undergo surgery in Sweden each year, and over 770,000 of them are aged 65 years or older. Older adults often have more complex health needs and may require additional support throughout the surgical care process.
Surgical care can be divided into three phases: before, during, and after surgery. Before surgery, older adults may need to improve their health status and prepare for the procedure. Many also feel worried about the surgery and recovery. It is important that patients understand the information they receive and are involved in decisions about their care. However, some older adults find it difficult to understand health information or to ask questions, which can make participation in care more challenging.
Recovery after surgery means returning to the same level of function as before surgery, or adjusting to a new level if needed. For older adults, recovery can take longer and often continues after leaving the hospital. Support during this period is important for a safe and successful recovery.
The POP project aims to improve the care and support provided to older adults undergoing surgery. The project focuses on identifying gaps and differences in current care and improving support throughout the entire surgical pathway, regardless of the type of surgery.
There is currently limited knowledge about how older adults in Sweden experience the surgical care process. By increasing this understanding, the project aims to support improvements in care and outcomes for older adults.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
65 years and older
Being able to read and understand Swedish
Disqualifiers
Living at a nursing home with an experience of undergoing surgery or being a next-of-kin to someone living at a nursing home
Being able to understand Swedish
Trial population
Older persons aged 65 or older. Next of kin and staff working at a nursing home.
Trial design
Design model
Other
Time perspective
Prospective
Treatments tested in this trial
No intervention
Other interventionNo intervention
Treatment groups
1,000,000 Participants
are divided into 4 treatment groupsGroup A: Registry-based cohort1 intervention
Group B: Preoperative concerns and health literacy0 interventions
Group C: Nurses and nurse assistants working in nursing homes1 intervention
Group D: Older adults and next of kin1 intervention
Trial outcomes
Primary outcomes
1
Preoperative concerns
Preoperative concerns in older adults (PCOA) is a questionnaire developed by Li et al. PCOAS will be translated to Swedish and psychometrically evaluated. Minimum value 1, maximum value 5 per item and a higher score means higher concerns.
Time frame
Before surgery.2
Interviews with older persons and next-of-kin
The interviews will investigate how an older person living in a nursing home can be involved in their care before and after an operation.
Time frame
The interview will be conducted at one time point approximately 60 minutes.3
Interviews with staff
The interviews will investigate how is the perioperative care process for older people living in nursing homes perceived and organized from the perspective of the staff?
Time frame
The interview will be conducted at one time point approximately 60 minutes.4
Health literacy
The HLS19-Q12 ( (Health Literacy Population Survey 2019-2021) instrument will be used to measure general health literacy. HLS19-Q12 is scaled from 0 to 100. A higher score value signifies a higher level of general HL.
Time frame
Before surgery.Other outcomes
1
Perioperative outcomes
Surgical time in minutes
Time frame
12 months2
Perioperative outcomes
The Swedish PeriOperative Registry (SPOR) includes perioperative data. Clinical Frailty Scale (CFS), minimum 1 and maximum 9, with a cutoff of 4 will be used to classify high vs. low frailty .
Time frame
12 month3
Perioperative outcomes.
The Swedish PeriOperative Registry (SPOR) includes perioperative data. Quality of recovery-15 (QoR-15) minimum 0 and maximum 10 with a lower score indicating worse recovery, and mortality within 6 months ).
Time frame
12 month4
Perioperative outcomes
Postoperative complications at the PACU: PONV yes/no, n(%), pain in numeric rating scale, POUR in milliliter, hypothermia in Celcius
Time frame
Before discharge from the PACULocations
Sponsors and contacts
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Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: