Peri-operative Longitudinal Evaluation--Multiple Disciplinary
Conditions
Interventions
APPLE-MDT Group:Perioperative clinical decisions are based on the risks and recommendations from the APPLE-MDT system
Control group:Perioperative clinical decisions follow the tranditional strategy
Sponsors
Xuanwu Hospital, Capital Medical University, National Center for Clinical Research of Geriatric Diseases
Eligibility
Sex/Gender
All
Age
75 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Aged = 75 years old male and female; 2. Elective surgery was performed under non-local anesthesia in the operating room
Exclusion criteria
Exclusion criteria: 1. Emergency operation; 2. local anesthesia; 3. A critical situation that needs to be dealt with before the operation; 4. Unable to cooperate with estimator; 5. Patient refuse to treat.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of severe non-surgical complications--acute stroke;30 days all-Cause Mortality;The incidence of severe non-surgical complications--postoperative delirium;The incidence of severe non-surgical complications--acute respiratory failure;The incidence of severe non-surgical complications--acute heart failure;The incidence of severe non-surgical complications--acute myocardial injury;The incidence of severe non-surgical complications--acute renal injury; | — |
Secondary
| Measure | Time frame |
|---|---|
| life quality score;Surgical severe complications;anesthetic complications;Combined medication complications;physical status;Surgical functional rehabilitation process;Postoperative rehabilitation process;Postoperative nutritional status;length of hospital stay;hospitalization costs;Rate of ICU stay;Length of ICU stay;readmission rate; | — |
Countries
China
Contacts
Public ContactWang Tianlong
Xuanwu Hospital, Capital Medical University
Outcome results
None listed