Actively Recruiting

Phase Not Applicable
Age: 70Years - 120Years
All Genders
NCT05140993

The Role of Emotional and Orientation Support in Prevention of Postoperative Delirium Among Elderly Surgical Patients

Led by Barak Cohen, MD · Updated on 2024-11-20

2000

Participants Needed

1

Research Sites

178 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Postoperative delirium is common and associated with significant adverse outcomes. Its etiology is unknown, and little is known about associated risk factors. The investigatorea aim to test whether providing emotional and orientation support can reduce the risk of postoperative delirium in elderly patients undergoing elective non-cardiac surgery. Specifically, the investigators will test whether allowing such patients to keep their hearing and visual aids and be escorted into the operating room by a family member until anesthesia induction reduces the incidence of postoperative delirium. Delirium will be actively screened as part of our institution's clinical practice starting at PACU admission and for a minimum of 2 postoperative days. The investigators will use a multiple cross-over design to enroll all eligible patients and alternate between the intervention and our common practice (removing sensorial aids in the preoperative area and not allowing patients' escort beyond that point) every 2 weeks for up to 2 years.

CONDITIONS

Official Title

The Role of Emotional and Orientation Support in Prevention of Postoperative Delirium Among Elderly Surgical Patients

Who Can Participate

Age: 70Years - 120Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 70 years or older
  • Scheduled for non-cardiac and non-cranial surgery at Tel-Aviv Medical Center
Not Eligible

You will not qualify if you...

  • Known psychiatric or severe neurological disorders such as Alzheimer's disease or past stroke
  • Preoperative cognitive decline with MiniCog test result less than 3 points
  • Not planned to be extubated and awake at surgery conclusion
  • Known inability to cooperate with postoperative delirium screening due to language barrier or aphasia

AI-Screening

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Trial Site Locations

Total: 1 location

1

Division of Anesthesiology, Intensive Care Medicine and Pain management, Tel-Aviv Medical Center, Sackler faculty of medicine, Tel-Aviv University, Israel

Tel Aviv, Israel

Actively Recruiting

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Research Team

B

Barak Cohen, MD

CONTACT

Y

Yuval Baar, MSc

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

PREVENTION

Number of Arms

2

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