Emotional and orientation support to prevent delirium in elderly 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 investigate whether providing emotional and orientation support can reduce the incidence of postoperative delirium in elderly patients undergoing elective non-cardiac surgery. The approach involves allowing patients to keep their hearing and visual aids and having a family member escort them into the operating room until anesthesia induction. The study will actively screen for delirium starting at the post-anesthesia care unit (PACU) admission and continue for at least two postoperative days. A multiple cross-over design will be used to alternate between the intervention and standard practice, which typically involves removing sensory aids and not allowing escorts beyond a certain point.

Why it matters

Who can join: the full rules

Inclusion Criteria:

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

Exclusion Criteria:

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

Where it's 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 Recruiting

Study contacts

• Principal investigator: Barak Cohen, MD — Tel-Aviv Medical Center, Sackler faculty of medicine, Tel-Aviv University, Israel
• Study coordinator: Barak Cohen, MD
• Email: barakc@tlvmc.gov.il
• Phone: +97236974093

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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.