Geriatric-specific comorbidity in surgical procedures (emergency or elective) in trauma, hand, plastic, and reconstructive surgery, general and visceral surgery, or urology Care deficit / lack of continuity of care (COC) after discharge
Conditions
Interventions
Group 1: Patients aged 70 and older with an ISAR score of = 2 who are admitted to hospital for surgery are assessed and tested using validated clinical assessment tools covering various geriatric doma
Sponsors
Universitätsklinikum Ulm; Sponsor Delegate:
Eligibility
Sex/Gender
All
Age
70 Years to No maximum
Inclusion criteria
Inclusion criteria: • ISAR (Identifying Seniors at Risk) score = 2 • Inpatient admission for surgery • Surgery has not yet been performed
Exclusion criteria
Exclusion criteria: • Patients receiving palliative care (life expectancy < 3 months based on clinical assessment by the attending physician) • Patients who are unable to give consent and who have no legal guardians or authorized representatives • Assessments cannot be carried out due to limited communication skills (e.g., due to a lack of language skills) • Length of inpatient stay < 3 days
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Accuracy of discharge destination decisions made using the SAA compared to expert assessment of the best discharge destination ensuring continuity of care. The following discharge destination options are recorded: • Acute geriatric hospital • Specialized or geriatric rehabilitation (inpatient or outpatient) • Home (with or without personal assistance) • Nursing home | — |
Secondary
| Measure | Time frame |
|---|---|
| • Independence in activities of daily living before hospitalization and after 3 and 15 months • Care needs before hospitalization and after 3 and 15 months • Mobility before hospitalization and after 3 and 15 months • Readmission rate to Ulm University Hospital (UKU) within 3 months of discharge • Adverse events during hospitalization and in the first 3 months after discharge • Cognition at the time of hospitalization (preoperative) and after 3 months • Occurrence of delirium during hospitalization • Health-related quality of life of participants at the time of hospitalization (preoperative) and after 3 and 15 months • Health economic analysis of health services used within 3 and 15 months after discharge • Exploratory analysis of sensor data collected from the wrist (activity/mobility and feasibility of the measurement method) • Usability and perceived usefulness (quantitative analysis) from the users' perspective, reasons for deviation from COC recommendations | — |
Countries
Germany
Contacts
Public ContactSimone Brefka
Institut für Geriatrische Forschung, Universitätsklinikum Ulm
Outcome results
None listed