The Impact of Perioperative Geriatric Care on Outcomes After Elective Noncardiac Surgery

Ottawa Hospital Research Institute

Status: Completed

Conditions: Mortality; SURGICAL PROCEDURES, OPERATIVE; Aged; Epidemiology

Treatments: Procedure: No Preoperative geriatric consult or assessment; Procedure: Preoperative geriatric consult or assessment

Study type: Observational

Funder types: Other

Identifiers

NCT02975375

DM4

Details and patient eligibility

About

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

Full 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.

Enrollment: 266,499 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• >65
• Resident of Ontario
• Having elective non-cardiac surgery (inpatient admission)

Exclusion criteria

• Residing in a nursing home or long term care facility at baseline

Trial design

266,499 participants in 2 patient groups

Preoperative geriatric consult or assessment

Description:

Patients who have a geriatric assessment of consult billed in the 4 months before surgery

Treatment:

Procedure: Preoperative geriatric consult or assessment

No Preoperative geriatric consult or assessment

Description:

Patients who do not have a geriatric assessment of consult billed in the 4 months before surgery

Treatment:

Procedure: No Preoperative geriatric consult or assessment