The Impact of Perioperative Geriatric Care on Outcomes After Elective Noncardiac Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- SURGICAL PROCEDURES, OPERATIVE
- Sponsor
- Ottawa Hospital Research Institute
- Enrollment
- 266499
- Locations
- 1
- Primary Endpoint
- Number of Participants With All-Cause Mortality at 90-days
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The investigators will conduct a population-based study using health administrative data to evaluate the impact of preoperative geriatric consultation on postoperative outcomes in older patients having elective, non-cardiac surgery
Detailed Description
The investigators will use multilevel multivariable analyses to measure the association between preoperative geriatric assessment or consultation and outcomes after major elective non-cardiac surgery. Sensitivity analyses will be done to evaluate types and timing of geriatric care around surgery, as well as for effect modification based on patient and procedural factors.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Resident of Ontario
- •Having elective non-cardiac surgery (inpatient admission)
Exclusion Criteria
- •Residing in a nursing home or long term care facility at baseline
Outcomes
Primary Outcomes
Number of Participants With All-Cause Mortality at 90-days
Time Frame: date of surgery to 90 days after surgery
Death from any cause in the 90 days after surgery
Secondary Outcomes
- Patient Safety Event(From surgery to hospital discharge (on average 6 to 7 days))
- Hospital Length of Stay(date of surgery to date of hospital discharge, or 365 days after surgery, whichever comes first)
- Non-independent Discharge Location(date of surgery to date of hospital discharge, or 365 days after surgery, whichever comes first)
- 30-day Hospital Readmission(Date of discharge (on average 6 to 7 days) to 30 days after discharge (on average 5 weeks))