Pre-surgery comprehensive geriatric evaluation to reduce postoperative delirium

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 interventional trial compares ongoing postoperative follow-up by a geriatrician using a comprehensive geriatric assessment (CGA) versus simply flagging a patient as frail in the electronic medical record. Eligible participants are frail adults identified by the 5-item modified frailty index (5-mFI ≥ 2) who are scheduled for elective inpatient surgery with expected length of stay over one day and will receive general anesthesia. The main goal is to see if the geriatrician-led, continuous evaluation after surgery reduces the incidence of postoperative delirium and related complications. The study is led by the University of Miami with collaboration from the Anesthesia Patient Safety Foundation and enrolls patients at the University of Miami hospital in Miami, Florida.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Frailty as measured by the 5-modified frailty index (5-mFI) during the anesthesia preoperative assessment. The 5-mFI consists of 5 elements: 1-dependency for activities of daily living, 2-congestive heart failure within 30 days, 3-chronic obstructive pulmonary disease or pneumonia currently treated with antibiotics, 4-diabetes, and 5-hypertension. The diagnosis of frailty by the 5-mFI is based upon the presence of 2 or more of the elements.
2. Elective inpatient surgery with an expected LOS \> 1 day;
3. Receiving general anesthesia
4. Adults who are unable to consent if they have a designated proxy able to consent

Exclusion Criteria:

1. Absence or withdrawal of informed consent,
2. Presence of current delirium
3. prisoners

Where it's running

• University of Miami
  Miami, Florida, United States Recruiting

Study contacts

• Principal investigator: Elizabeth Gabrielli, MD — University of Miami
• Study coordinator: Elizabeth Gabrielli, MD
• Email: exm1044@med.miami.edu
• Phone: 7868784943

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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.