Interprofessional Preoperative Geriatric Assessment for Older Arthroplasty Patients With Multimorbidity
NCT ID: NCT04001699
Last Updated: 2019-06-28
Study Results
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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UNKNOWN
NA
140 participants
INTERVENTIONAL
2019-08-19
2024-12-31
Brief Summary
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Detailed Description
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Older adults undergoing surgery are a rapidly growing but vulnerable patient group. Knowledge on effects of preoperative evaluation and optimization is sparse, especially on the effects of multi-domain interventions.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Intervention
Preoperative assessment conducted by an interprofessional team
Preoperative geriatric assessment
In addition to the usual care, patients randomized to the intervention group receive preoperative assessment conducted by an interprofessional team including geriatrician, registered nurse, physiotherapist and pharmacist. Based on the assessment, a preoperative optimization plan is constructed focusing on the treatment of the patient's chronic conditions, nutritional status, medication and physical activity.
Usual care
Usual care
Preoperative geriatric assessment
In addition to the usual care, patients randomized to the intervention group receive preoperative assessment conducted by an interprofessional team including geriatrician, registered nurse, physiotherapist and pharmacist. Based on the assessment, a preoperative optimization plan is constructed focusing on the treatment of the patient's chronic conditions, nutritional status, medication and physical activity.
Interventions
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Preoperative geriatric assessment
In addition to the usual care, patients randomized to the intervention group receive preoperative assessment conducted by an interprofessional team including geriatrician, registered nurse, physiotherapist and pharmacist. Based on the assessment, a preoperative optimization plan is constructed focusing on the treatment of the patient's chronic conditions, nutritional status, medication and physical activity.
Eligibility Criteria
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Inclusion Criteria
* Age ≥ 65 years
* Clinical decision for knee or hip arthroplasty, elective operation with more than one month waiting time, primary arthroplasty of the index joint.
* Multimorbidity: the patient has at least two chronic diseases with potential to affect functioning, diseases are defined according to the Function Comorbidity Index (FCI)
* 5 or more medicines taken regularly (polypharmacy)
* continuous walking distance less than 500 m
* needs help in dressing and/or washing oneself
* needs help when visiting or taking care of businesses outside home
* body mass index ≤ 23 or ≥ 34
65 Years
ALL
No
Sponsors
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Kuopio University Hospital
OTHER
University of Eastern Finland
OTHER
Responsible Party
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Eija Lönnroos
professor
Principal Investigators
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Eija Lönnroos
Role: PRINCIPAL_INVESTIGATOR
University of Eastern Finland, Institute of Public Health and Clinical Nutrition
Locations
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University of Eastern Finland
Kuopio, , Finland
Countries
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Central Contacts
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Facility Contacts
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Eija Lönnroos, MD, PhD
Role: primary
Kaisa Haatainen, PhD
Role: backup
Other Identifiers
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HERIT
Identifier Type: -
Identifier Source: org_study_id