Proactive care of Older People undergoing Surgery: Geriatric-Surgical Support Team

ISRCTN	ISRCTN48856163
DOI	https://doi.org/10.1186/ISRCTN48856163
Protocol serial number	G021011
Sponsor	Guy's and St Thomas' Charity (UK)
Funder	Guy's and St Thomas' Charitable Foundation. Registered Charity number 251983 (UK)

Submission date: 11/04/2005
Registration date: 20/06/2005
Last edited: 13/09/2017

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Surgery

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Danielle Harari
Scientific

9th Floor North Wing
St Thomas' Hospital
Lambeth Palace Road
London
SE1 7EH
United Kingdom

Email	danielle.harari@kcl.ac.uk

Study information

Primary study design	Interventional
Study design	Randomised controlled trial
Secondary study design	Randomised controlled trial
Scientific title	Proactive care of Older People undergoing Surgery: Geriatric-Surgical Support Team - a randomised controlled trial
Study acronym	POPS
Study objectives	Functional status, pain control, and quality of life is commonly improved in older people following elective orthopaedic surgery. However, older people with comorbidities are more likely to have prolonged hospital stay and readmissions relating to post-operative problems such as delirium, prolonged immobility, and complex discharges. 1. Proactive multidisciplinary geriatric intervention (as compared with usual care) will reduce: a. Post-operative length of stay b. Hospital readmission within 28 days c. Post-operative delirium in at risk older people undergoing elective surgery 2. Proactive multidisciplinary geriatric intervention will cost-effectively improve post-operative clinical (illness events), functional (dependency) and psychological (anxiety and depression) outcomes in at risk older patients undergoing elective surgery
Ethics approval(s)	Not provided at time of registration
Health condition(s) or problem(s) studied	Orthopaedic surgery
Intervention	We are evaluating a multidisciplinary Comprehensive Geriatric Assessment (CGA) team (geriatrician, specialist nurse, physiotherapist, occupational therapist [OT], social worker) whose aim is to reduce post-operative problems in at risk older surgical patients through proactive assessment and treatment. The aim of this randomised controlled trial (RCT) is to evaluate the clinical impact and cost-effectiveness of this approach. Control: Usual care
Intervention type	Procedure/Surgery
Primary outcome measure(s)	Primary outcome at 1 month post-operatively will be hospital length of stay.
Key secondary outcome measure(s)	Secondary outcomes include post-operative medical complications, mobility, mood, quality of life, and resource use.
Completion date	31/01/2006

Eligibility

Participant type(s)	Patient
Age group	Senior
Sex	All
Target sample size at registration	126
Key inclusion criteria	Patients aged 65+ on the elective orthopaedic waiting list will be screened by postal questionnaire for medical, functional, psychosocial risk factors, and those at risk who consent to participate will be randomised 3 months prior to surgery to receive either the intervention or 'usual care'.
Key exclusion criteria	1. Patients aged 65 years and over awaiting elective surgery without evidence-based risk factors from screening (postal questionnaire) 2. People who refuse consent
Date of first enrolment	01/01/2004
Date of final enrolment	31/01/2006

Locations

Countries of recruitment

United Kingdom
England

Study participating centre

9th Floor North Wing

London
SE1 7EH
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	result of cohort study	01/03/2007		Yes	No

Editorial Notes

13/09/2017: internal review.