Frailty Care dependency Orthopaedic surgery Older adults Frailty Patient Discharge Postoperative Care Orthopedic Procedures Aged Activities of Daily Living
Conditions
Interventions
Older adults aged 60 years and above undergoing major orthopaedic surgery, assessed for frailty and readiness for hospital discharge and followed for care dependency outcomes.
Other
Older adults undergoing major orthopaedic surgery
Sponsors
Bangkok Metropolitan Administration
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Older adults aged 60 years and over 2. Undergoing major orthopaedic surgery which are limited to the following three procedures Total Knee Arthroplasty (Knee replacement), Total Hip Arthroplasty (Hip replacement) and Major Spine Surgery (Lumbar/spinal fusion or repair surgery) 3. Able to communicate and provide informed consent
Exclusion criteria
Exclusion criteria: 1. Any minor orthopedic procedures (e.g., closed reduction, arthroscopic debridement, trigger finger release, minor hardware removal). Any emergency or non-elective orthopedic surgeries (e.g., acute open fractures from severe trauma). 2. Patients with severe complications after surgery such as septic shock, deep vein thrombosis/pulmonary embolism (DVT/PE), acute kidney injury, or death. 3. Patients with cognitive impairment preventing reliable communication 4. Patients unwilling to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Care dependency At 2 weeks and 6 weeks after hospital discharge Modified Barthel Index | — |
Secondary
| Measure | Time frame |
|---|---|
| Frailty, Readiness for hospital discharge At hospital admission and before hospital discharge Measured using the Edmonton Frail Scale, Measured using the Readiness for Hospital Discharge Scale | — |
Countries
Thailand
Contacts
Public ContactTerdpong Prasanmueng
Sirindhorn Hospital, Medical Service Department, Bangkok Metropolitan Administration
Outcome results
None listed