The Role of Emotional and Orientation Support in Prevention of Postoperative Delirium Among Elderly Surgical Patients - a Multiple-crossover Clinical Trial

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Postoperative delirium is common and associated with significant adverse outcomes. Its etiology is unknown, and little is known about associated risk factors. The investigatorea aim to test whether providing emotional and orientation support can reduce the risk of postoperative delirium in elderly patients undergoing elective non-cardiac surgery. Specifically, the investigators will test whether allowing such patients to keep their hearing and visual aids and be escorted into the operating room by a family member until anesthesia induction reduces the incidence of postoperative delirium. Delirium will be actively screened as part of our institution's clinical practice starting at PACU admission and for a minimum of 2 postoperative days. The investigators will use a multiple cross-over design to enroll all eligible patients and alternate between the intervention and our common practice (removing sensorial aids in the preoperative area and not allowing patients' escort beyond that point) every 2 weeks for up to 2 years.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 70
Maximum Age: 120
Healthy Volunteers: f
View:

• age ≥ 70 years

• having non-cardiac and non-cranial surgery in the Tel-Aviv Medical Center

Locations
Other Locations
Israel
Division of Anesthesiology, Intensive Care Medicine and Pain management, Tel-Aviv Medical Center, Sackler faculty of medicine, Tel-Aviv University, Israel
RECRUITING
Tel Aviv
Contact Information
Primary
Barak Cohen, MD
barakc@tlvmc.gov.il
+97236974093
Backup
Yuval Baar, MSc
yuvalba@tlvmc.gov.il
+97236974093
Time Frame
Start Date: 2022-06-01
Estimated Completion Date: 2025-11-01
Participants
Target number of participants: 2000
Treatments
Experimental: extended support
providing extended emotional and orientation support
No_intervention: common practice
The hospital routine clinical standard- not providing extended emotional and orientation support
Related Therapeutic Areas
Sponsors
Leads: Barak Cohen, MD

This content was sourced from clinicaltrials.gov