An interdisciplinary model to enhance care of older patients undergoing vascular surgery

Not Applicable

Recruiting

• Conditions: Vascular surgery; Surgery - Other surgery; Cardiovascular - Diseases of the vasculature and circulation including the lymphatic system

• Registration Number: ACTRN12612001201864
• Lead Sponsor: Australian Centre for Health Services Innovation

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2012-11-14
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 250

Inclusion Criteria

Aged 65 or older, admitted to vascular surgical unit with anticipated length of stay at least 3 days

Exclusion Criteria

Unable to be reviewed within 4 days of admission
Unable to consent and no statutory health authority available

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Delirium (Confusion Assessment Method, CAM)[Delirium is assessed at multiple time points (3 times per week) during hospitalisation and will be converted to a binary variable];Functional decline, defined as increase in number of basic activites of daily living (based on Katz scale) for which the patient requires human assistance (patient report supplemented as necessary by nurse report)[Functional status measured at multiple time points (3 times per week) during hospitalisation will be compared to pre-admission functional status using trajectory modelling];Length of stay (date of admission to date of actual discharge) using hospital information system data[Discharge from first hospitalisation in study period]

Secondary Outcome Measures

Name	Time	Method
Medical complications extracted by medical/surgical registrar from review of clinical notes and categorised using the Accordion classification system[Discharge from first hospitalisation in the study period];Discharge destination (died, discharged home, discharged to residential aged care)[Discharge from hospital];Cost-utility analysis (EQ5D Australian telephone version)[28 days from discharge]