Older patients who undergoing elective surgery Postoperative cognitive dysfunction, telemedicine, web application
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. patients are over 60 years old 2. Patients who come for elective surgery and receive general anesthesia, regional anesthesia, or together at Siriraj Hospital, Kanchanapisek Medical Center, Faculty of Medicine, Siriraj Hospital. Mahidol University 3. Patients or caregivers can use online conferencing systems such as Line VDO call, Zoom, WebEx, or Microsoft Team, etc. Electronic devices can be used for communication, and caregivers can use electronic devices for communication.
Exclusion criteria
Exclusion criteria: 1. The patient is unable to understand and communicate in Thai or is unable to answer questions in person. 2. Patients with brain pathologies such as brain tumors, a history of stroke, paralysis, bedridden patients 3. Patients who do not have a device that can use the Application/Web Application, such as smart phone, computer, laptop, tablet, etc. 4. Severe visual and hearing impairment and communication impediments. Patients must have a music device that can be used to open the application
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Activity daily life baseline, 1 monts postoperative, 3 months postoperative Barthel Activities of Daily Living ,Post-operative cognitive dysfunction baseline,7 days posroperative, 1 monts postoperative, 3 months postoperative POCD predictive model,Cognitive Impairment baseline,7 days posroperative, 1 monts postoperative, 3 months postoperative Montreal cognitive assessment Thai version | — |
Secondary
| Measure | Time frame |
|---|---|
| E-health literacy baseline Self report ,Intraoperative information 7 days posroperative, 1 monts postoperative, 3 months postoperative Medical record | — |
Countries
Thailand
Contacts
Faculty of Medicine Siriraj hospital, Mahidol University