Prevention of Postoperative Delirium After Acute Surgery (POD-CARE)

Bispebjerg Hospital

Status: Unknown

Conditions: Postoperative Delirium

Treatments: Other: Patient interventions; Other: Staff education

Study type: Interventional

Funder types: Other

Identifiers

NCT04857125

H-20067775

Details and patient eligibility

About

The aim of this trial is to evaluate the implementation and effect of an evidence based, multicomponent intervention on postoperative delirium, when fast implemented throughout the patients stay in hospital before, during and after acute surgery in a risk population, the primary outcome being frequency of patients with positive Confusion Assessment Method (CAM) score.

The hypothesis is that the frequency of postoperative delirium will be reduced after implementation of the preventive interventions.

Enrollment: 476 estimated patients

Sex: All

Ages: 40+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 40 or above.
• Patients scheduled for acute abdominal or orthopaedic surgery in general anaesthesia with an expected duration of 30 minutes or more.
• Patients who are scheduled for surgery within 72 hours of hospital admission.
• Patients who are expected to stay in hospital for 24 hours or more.

Exclusion criteria

• Patients screened CAM positive before surgery.
• Patients who have already been included in the study
• Patients unable to speak and read Danish.
• Inability to provide consent.

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: Single Blind

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476 participants in 2 patient groups

Multicomponent intervention

Active Comparator group

Description:

Pre-, intra- and postoperative interventions applied using the Fast-IM method.

Treatment:

Other: Staff education

Other: Patient interventions

Standard care

No Intervention group

Description:

Patients are receiving standard care.