No intervention
OtherNo intervention
NCT Number: NCT07764289
More than 1.5 million people undergo surgery in Sweden each year, and over 770,000 of them are aged 65 years or older. Older adults often have more complex health needs and may require additional support throughout the surgical care process.
Surgical care can be divided into three phases: before, during, and after surgery. Before surgery, older adults may need to improve their health status and prepare for the procedure. Many also feel worried about the surgery and recovery. It is important that patients understand the information they receive and are involved in decisions about their care. However, some older adults find it difficult to understand health information or to ask questions, which can make participation in care more challenging.
Recovery after surgery means returning to the same level of function as before surgery, or adjusting to a new level if needed. For older adults, recovery can take longer and often continues after leaving the hospital. Support during this period is important for a safe and successful recovery.
The POP project aims to improve the care and support provided to older adults undergoing surgery. The project focuses on identifying gaps and differences in current care and improving support throughout the entire surgical pathway, regardless of the type of surgery.
There is currently limited knowledge about how older adults in Sweden experience the surgical care process. By increasing this understanding, the project aims to support improvements in care and outcomes for older adults.
Trial opening soon.
Get Notified65 year and older
All sexes
Observational
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Preoperative concerns and health literacy
Inclusion criteria
Exclusion criteria
-Cognitive decline
Perioperative outcomes
Inclusion criteria
-65 years and older
Interviews with staff
Inclusion Critera:
-Working in a nursing home as a nurse assistant or a nurse with experience of pre- and postoperative care
Interviews with older persons and next-of-kin
Inclusion criteria
Exclusion criteria
-Cognitive decline
No intervention
Time frame: Before surgery.
Preoperative concerns in older adults (PCOA) is a questionnaire developed by Li et al. PCOAS will be translated to Swedish and psychometrically evaluated. Minimum value 1, maximum value 5 per item and a higher score means higher concerns.
Time frame: The interview will be conducted at one time point approximately 60 minutes.
The interviews will investigate how an older person living in a nursing home can be involved in their care before and after an operation.
Time frame: The interview will be conducted at one time point approximately 60 minutes.
The interviews will investigate how is the perioperative care process for older people living in nursing homes perceived and organized from the perspective of the staff?
Time frame: Before surgery.
The HLS19-Q12 ( (Health Literacy Population Survey 2019-2021) instrument will be used to measure general health literacy. HLS19-Q12 is scaled from 0 to 100. A higher score value signifies a higher level of general HL.
Time frame: 12 months
Surgical time in minutes
Time frame: 12 month
The Swedish PeriOperative Registry (SPOR) includes perioperative data. Clinical Frailty Scale (CFS), minimum 1 and maximum 9, with a cutoff of 4 will be used to classify high vs. low frailty .
Time frame: 12 month
The Swedish PeriOperative Registry (SPOR) includes perioperative data. Quality of recovery-15 (QoR-15) minimum 0 and maximum 10 with a lower score indicating worse recovery, and mortality within 6 months ).
Time frame: Before discharge from the PACU
Postoperative complications at the PACU: PONV yes/no, n(%), pain in numeric rating scale, POUR in milliliter, hypothermia in Celcius
Time frame: At discharge from the PACU
Lenght of stay in hours
Time frame: Baseline
Baseline data : age in yrs, height in meters, BMI kg/m^2 , biological sex in n(%), ASA-classification in n(%), elective/acute surgery in n(%), intraoperative positioning in n(%)
Contact information is provided by the study sponsor or research team.
Örebro University, Sweden
Other
The Perioperative Pathway for Older Adults -a Mixed Method Study
Acronym: POP
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
Published trials that share one or more normalized conditions with this study.
NCT07659548
Living Alone, Mild Cognitive Decline
View Trial DetailsNCT07570303
Behavior, Health Behaviour
Milan, Italy
View Trial DetailsNCT07631975
Dual Task Cost, Falls in Old Age
Samsun, Turkey (Türkiye)
View Trial DetailsNCT07507279
Older Adults (65 Years and Older)
Antalya, Konyaaltı, Turkey (Türkiye)
View Trial Details