Optimized Recovery After Trauma in Geriatric Patient (Gero - ERAT)
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 540
- 试验地点
- 2
- 主要终点
- Length of hospital stay (LOS)
研究概览
简要总结
Currently, there is evidence that structured care within the healthcare system increases the conditions for good care and better recovery. We want to investigate whether a new care concept (gero-ERAT) that combines two variants of structured care can improve the recovery of elderly patients affected by a physical trauma.
Our hope is that the project will reduce the complications, short care times, fewer re-admissions and that more patients can return to regular living, which reduces the suffering for the patient and his relatives. In addition to patient benefit, a successful outcome will also result in reduced costs for healthcare and society as a whole. The concept of care is based on an increased patient participation, which is in line with the values of the Västra Götaland region and the Sahlgrenska university hospital
Through the PhD project, four studies will be published. A qualitative interview study to investigate patients' experiences of care and recovery after trauma.
After that, a prospective cohort survey of two groups is carried out; conventional care and gero-ERAT. Data will begin to be collected in the control group and when the control group is full geroRATAT will be implemented in the care department and we then collect data in the intervention group.
Based on collected data, we will publish two additional studies one with a focus on health economics as well as one focusing on care time and recovery based on age and harvest estimation.
详细描述
At present, there is evidence that structured care within healthcare (CGA and ERAS) increases the conditions for good care and better recoveries after acute conditions, planned and unplanned surgery. However, there are gaps in knowledge regarding elderly patients who are cared for within the surgical context. In this project we want to investigate whether a new care concept that combines CGA and ERAS can improve care and recovery for elderly patients who have suffered a physical trauma. We call care concepts for Geriatric Enhanced Recovery After Trauma (gero-ERAT). The project will be implemented as a PhD project for a maximum of 8 years. In the doctoral project, a qualitative interview study is planned during the spring and autumn of 2019. The purpose is to investigate experiences of care and recovery in elderly patients who have been cared for physical trauma. The findings from that study can contribute with new knowledge to the gero-ERAT concept.
The overall purpose of the project is to develop, implement and evaluate a structured care with the aim of improving care and recovery in elderly patients affected by physical trauma.
Specific purposes
- Investigate patients experience of the recovery process after trauma
- Establish, implement and evaluate the gero-ERAT concept (ie the effect of the intervention during the care period) at the trauma care unit at the university hospital.
- Examine health economics when introducing and using gero-ERAT in the continuum care at the university hospital
- Investigate in hospital time and recovery based on age and harvest estimation when using gero-ERAT
The first study will be a qualitative interview study, 20-25 (depending on when saturation of data occurs) patients will be deeply interviewed at approximately one hour.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
盲法说明
Elderly trauma patients
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •≥ 65 years old
- •In hospital due to physical trauma
- •Able to speak and understand Swedish
排除标准
- •Documented palliative care
- •Cognitive impairment
结局指标
主要结局
Length of hospital stay (LOS)
时间窗: One year
Length of hospital stay (LOS) in days
次要结局
- SF-36(One year)
- Euro Quality of life - 5D(One year)
- The Katz ADL (Activities of Daily Living Index)(One year)
- ESAS (Edmonton Symptom Assessment Scale)(One year)
- PREM (Patient Reported Experienced Measures)(One year)
- Postoperative Recovery Profile (PRP)(One year)
- Complications(One year)
- Mortality(One year)
- Readmissions(One year)