A program to reduce postoperative delirium in older surgical patients

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to address cognitive complications, particularly postoperative delirium (POD), which affects a significant number of older surgical patients. It involves a two-phase, prospective, observational approach where patients aged 60 and above undergoing major elective surgeries will be screened for pre-existing cognitive impairment. The first phase will assess the prevalence of POD and cognitive impairment, while the second phase will implement a comprehensive delirium-risk prevention bundle, including education for patients and healthcare providers. The goal is to evaluate the effectiveness of these strategies in reducing the incidence of POD.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* ≥ 60 years old
* Undergoing major elective surgery (e.g., intra-abdominal, retroperitoneal, major orthopedic) with an expected postoperative stay of at least 1 night
* Evidence of cognitive impairment on baseline screening tests (i.e. any score \< 90 on CBB or \>10 on S-OMCT)

Exclusion Criteria:

* Patients undergoing cardiac surgery
* Patients undergoing intracranial neurosurgery
* Patients with known substance use disorder (verbally declared by patients)
* Unlikely to comply with study assessment (e.g., no fixed address, without access to internet/computer/phone).

Where it's running

• Sunnybrook Health Sciences Centre
  Toronto, Ontario, Canada Recruiting

Study contacts

• Principal investigator: Stephen Choi, MD, MSc — Sunnybrook Health Sciences Centre
• Study coordinator: Stephen Choi, MD, MSc
• Email: stephen.choi@sunnybrook.ca
• Phone: 416-480-4864

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.