Proactive care of Older People undergoing Surgery: Geriatric-Surgical Support Team
| ISRCTN | ISRCTN48856163 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN48856163 |
| Secondary identifying numbers | G021011 |
- Submission date
- 11/04/2005
- Registration date
- 20/06/2005
- Last edited
- 13/09/2017
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English Summary
Not provided at time of registration
Contact information
Dr Danielle Harari
Scientific
Scientific
9th Floor North Wing
St Thomas' Hospital
Lambeth Palace Road
London
SE1 7EH
United Kingdom
| danielle.harari@kcl.ac.uk |
Study information
| Study design | Randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Treatment |
| Scientific title | Proactive care of Older People undergoing Surgery: Geriatric-Surgical Support Team - a randomised controlled trial |
| Study acronym | POPS |
| Study hypothesis | Functional status, pain control, and quality of life is commonly improved in older people following elective orthopaedic surgery. However, older people with comorbidities are more likely to have prolonged hospital stay and readmissions relating to post-operative problems such as delirium, prolonged immobility, and complex discharges. 1. Proactive multidisciplinary geriatric intervention (as compared with usual care) will reduce: a. Post-operative length of stay b. Hospital readmission within 28 days c. Post-operative delirium in at risk older people undergoing elective surgery 2. Proactive multidisciplinary geriatric intervention will cost-effectively improve post-operative clinical (illness events), functional (dependency) and psychological (anxiety and depression) outcomes in at risk older patients undergoing elective surgery |
| Ethics approval(s) | Not provided at time of registration |
| Condition | Orthopaedic surgery |
| Intervention | We are evaluating a multidisciplinary Comprehensive Geriatric Assessment (CGA) team (geriatrician, specialist nurse, physiotherapist, occupational therapist [OT], social worker) whose aim is to reduce post-operative problems in at risk older surgical patients through proactive assessment and treatment. The aim of this randomised controlled trial (RCT) is to evaluate the clinical impact and cost-effectiveness of this approach. Control: Usual care |
| Intervention type | Procedure/Surgery |
| Primary outcome measure | Primary outcome at 1 month post-operatively will be hospital length of stay. |
| Secondary outcome measures | Secondary outcomes include post-operative medical complications, mobility, mood, quality of life, and resource use. |
| Overall study start date | 01/01/2004 |
| Overall study end date | 31/01/2006 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Senior |
| Sex | Both |
| Target number of participants | 126 |
| Participant inclusion criteria | Patients aged 65+ on the elective orthopaedic waiting list will be screened by postal questionnaire for medical, functional, psychosocial risk factors, and those at risk who consent to participate will be randomised 3 months prior to surgery to receive either the intervention or 'usual care'. |
| Participant exclusion criteria | 1. Patients aged 65 years and over awaiting elective surgery without evidence-based risk factors from screening (postal questionnaire) 2. People who refuse consent |
| Recruitment start date | 01/01/2004 |
| Recruitment end date | 31/01/2006 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
9th Floor North Wing
London
SE1 7EH
United Kingdom
SE1 7EH
United Kingdom
Sponsor information
Guy's and St Thomas' Charity (UK)
Charity
Charity
Guy's Hospital
Counting House
Thomas Street
London
SE1 9RT
United Kingdom
| charitablefoundation@gstt.nhs.uk | |
"ROR" |
https://ror.org/02p7svq74 |
Funders
Funder type
Charity
Guy's and St Thomas' Charitable Foundation. Registered Charity number 251983 (UK)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | result of cohort study | 01/03/2007 | Yes | No |
Editorial Notes
13/09/2017: internal review.
