Elder-friendly Approaches to the Surgical Environment (EASE) Study

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

723 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-04-30

Study Completion Date

2017-12-31

Brief Summary

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The aim of this study is to examine the impact implementing an elder-friendly surgical unit has on post-operative complications, mortality and quality of life for patients ≥ 65 years old who have undergone emergency surgical care.

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Detailed Description

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The investigators hypothesize that the elder-friendly surgical unit will reduce in-hospital complications and mortality in a cost-effective manner, for this at risk population.

Specific elder-friendly interventions include:

1. Locate all elderly surgical patients on one nursing unit
2. Interdisciplinary team-based care
3. Elder-friendly evidence-informed practices including: comfort rounds with early mobilization, delirium prevention/management, optimal nutrition and prevention of post-operative complications
4. Early and interdisciplinary discharge management

This is a prospective, before-after study with a concurrent control group. Four senior patient groups will be followed:

Conditions

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General Surgery

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Pre-Elder Friendly Surgical Intervention Group

Elder Acute Care and Emergency Surgery patients

No interventions assigned to this group

Post-Elder Friendly Surgical Intervention Group

Elder Acute Care and Emergency Surgery patients

Elder-Friendly Surgical Unit

Intervention Type OTHER

Pre-Elder Friendly Surgical Control Group

Elder Acute Care and Emergency Surgery patients

No interventions assigned to this group

Post-Elder Friendly Surgical Control Group

No interventions assigned to this group

Interventions

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Elder-Friendly Surgical Unit

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All patients \> 65 years old admitted for Acute care and Emergency Surgery
* Received acute abdominal surgery

Exclusion Criteria

* Elective general surgery cases
* Nursing home resident requiring full nursing care \[dependency in 3 or more activities of daily living \]
* Palliative surgery \[surgery with the primary intention of improving quality of life or relieving symptoms caused by advancing non-curative disease\]
* Multi-system trauma
* Patients from out of province or transferred from another inpatient service or hospital

Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No