Optimized Recovery After Trauma in Geriatric Patient
1 other identifier
interventional
540
1 country
1
Brief Summary
Currently, there is evidence that structured care within the healthcare system increases the conditions for good care and better recovery. We want to investigate whether a new care concept (gero-ERAT) that combines two variants of structured care can improve the recovery of elderly patients affected by a physical trauma. Our hope is that the project will reduce the complications, short care times, fewer re-admissions and that more patients can return to regular living, which reduces the suffering for the patient and his relatives. In addition to patient benefit, a successful outcome will also result in reduced costs for healthcare and society as a whole. The concept of care is based on an increased patient participation, which is in line with the values of the Västra Götaland region and the Sahlgrenska university hospital Through the PhD project, four studies will be published. A qualitative interview study to investigate patients' experiences of care and recovery after trauma. After that, a prospective cohort survey of two groups is carried out; conventional care and gero-ERAT. Data will begin to be collected in the control group and when the control group is full geroRATAT will be implemented in the care department and we then collect data in the intervention group. Based on collected data, we will publish two additional studies one with a focus on health economics as well as one focusing on care time and recovery based on age and harvest estimation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2019
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 9, 2019
CompletedFirst Submitted
Initial submission to the registry
May 29, 2019
CompletedFirst Posted
Study publicly available on registry
September 17, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 1, 2028
November 25, 2024
November 1, 2024
7.7 years
May 29, 2019
November 21, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Length of hospital stay (LOS)
Length of hospital stay (LOS) in days
One year
Secondary Outcomes (9)
SF-36
One year
Euro Quality of life - 5D
One year
The Katz ADL (Activities of Daily Living Index)
One year
ESAS (Edmonton Symptom Assessment Scale)
One year
PREM (Patient Reported Experienced Measures)
One year
- +4 more secondary outcomes
Study Arms (2)
Control group
NO INTERVENTIONStandard care at the unit
Gero-Erat
EXPERIMENTALNew care pathway that is built on the concept of ERAS and CGA
Interventions
The intervention is a standardize Care Plan which will be developed based on the evidence of caring for elderly patients in a trauma setting. The Care Plan will have its base in, the concept of ERAS and CGA. Also, patient experience will be taken in consideration and complement the care pathway. Patients admitted to the trauma unit will be given the care and asked to be a part of the study witch include to fill out surveys at baseline, six months and 1 year.
Eligibility Criteria
You may qualify if:
- ≥ 65 years old
- In hospital due to physical trauma
- Able to speak and understand Swedish
You may not qualify if:
- Documented palliative care
- Cognitive impairment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sahlgrenska university hospital
Gothenburg, 41345, Sweden
MeSH Terms
Conditions
Study Officials
- PRINCIPAL INVESTIGATOR
My Engström, PhD
Sahlgrenska University Hospital, Department of Surgery.
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Masking Details
- Elderly trauma patients
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 29, 2019
First Posted
September 17, 2019
Study Start
May 9, 2019
Primary Completion (Estimated)
January 1, 2027
Study Completion (Estimated)
January 1, 2028
Last Updated
November 25, 2024
Record last verified: 2024-11
Data Sharing
- IPD Sharing
- Will not share