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

Recruiting now · Not applicable

Conditions studied: Postoperative Delirium

In brief

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.

Key facts

Study ID

NCT05140993

Run by

Barak Cohen, MD

People needed

2000

Starts

2022-06-01

Expected to finish

2025-11-01

Last updated by the study team

2024-11-20

Who can join

Age: 70 and older, up to 120. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• age ≥ 70 years
• having non-cardiac and non-cranial surgery in the Tel-Aviv Medical Center

You may not qualify if…

• Known psychiatric or severe neurologic disorder (e.g., Alzheimer's disease, past stroke)
• Preoperative cognitive decline (MiniCog test result < 3 points)
• Not planned to be extubated and awaken at surgery conclusion
• Known inability to cooperate with postoperative delirium screening (language barrier, aphasia)

Where it is running

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

Full record on ClinicalTrials.gov

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