Improvement of Perioperative Care of Elderly Patients

Summary

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.

Conditions

• Perioperative Care

Interventions

BEHAVIORAL

Systematic inclusion of family members

Systematic inclusion of family members/ reference person in the perioperative process

BEHAVIORAL

Preoperative information

Detailed preoperative information about delirium prevention and procedures

BEHAVIORAL

Physical and breathing exercises

Preoperative execution of physical and breathing exercises if necessary

DIETARY_SUPPLEMENT

Dietary supplements

Dietary supplements if necessary

OTHER

Evaluation of long-term medication

Avoidance of unsuitable drugs for elderly if possible

PROCEDURE

Regional anesthesia

Regional anesthesia whenever possible

OTHER

Personal aids

Personal orientation aids until anesthesia induction

DEVICE

Temperature management

Perioperative warming

DEVICE

Neurmonitoring

Using Bispectral index (BIS) to measure the depth of anesthesia

PROCEDURE

Pain catheter

A pain catheter will be used as postoperative pain therapy if possible

Sponsors & Collaborators

• Universitätsklinikum Hamburg-Eppendorf

  lead OTHER

Study Design

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SEQUENTIAL

Eligibility

Min Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2017-11-01

Primary Completion

2020-05-14

Completion

2020-05-14

Countries

• Germany

Study Locations