Preoperative Risk Assessment in the Elderly

RWTH Aachen University100 enrolled

Overview

PrepTAB aims to determine whether elderly patients are able to complete 4 preoperative risk assessment questionnaires within a web-based survey.

Elderly patients are the most rapidly increasing group among surgical admissions. They are prone to a higher risk, because of predisposing risk factors. A comprehensive preoperative risk assessment is recommended by the European Society of Anaesthesiologists guideline, but time-consuming and usually not performed at present. A telemedical approach would enable an out-of hospital risk assessment before hospital admission and provide important information without the need for additional in-hospital resources. The feasibility of the completion of a web-based questionnaire by elderly patients, within a controlled in-hospital setting is required, as a base for a telemedical approach.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Preoperative Risk Assessment

Interventions

web-based questionnairesOTHER

Patients will be asked to complete web-based questionnaires on a tablet computer

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Legally competent patients * Written informed consent * Age ≥ 65, male, female, diverse * Multimorbid patients (≥ 2 comorbidities (according to the Charlson Comorbidity Index) * Major elective surgery (such as total abdominal hysterectomy, endoscopic resection of prostate, lumbar discectomy, thyroidectomy, total joint replacement, lung operations, colon resection, radical neck dissection etc.) Exclusion Criteria: * Blind or deaf patients * Patient/ Proxy not able to use electronic devices e.g. computer, tablet or smart phone * Non-fluency in local language * Alcohol and/ or drugs abuse * Ambulatory surgery * Repeated surgery, with previous participation * Patients with severe neurological or psychiatric disorder * Refusal of study participation by the patient

Locations (1)

Department of Anesthesiology, University Hospital Aachen

Aachen, North Rhine-Westphalia, Germany

RECRUITING

Outcomes

Primary Outcomes

Completion rate

The completion rate of the total number of questions of the web-based questionnaires

Time frame: 1 day

Secondary Outcomes

Frequency of patient's requests for help to the accompanying next of kin

The study team member, who is present during the study treatment, will assess the frequency of the patient's requests for help to the accompanying next of kin

Time frame: 1 day

Assessment of the kind of patient's requests for help to the accompanying next of kin

The study team member, who is present during the study treatment, will assess the kind of the patient's requests for help to the accompanying next of kin, divided into: technical request or request regarding the content of the web-based questions

Time frame: 1 day

Assessment of the kind of patient's requests for help to the study team member

The study team member, who is present during the study treatment, will assess the kind of the patient's requests for help to himself, divided into: technical request or request regarding the content of the web-based questions

Time frame: 1 day

Frequency of patient's requests for help to the study team member

The study team member, who is present during the study treatment, will assess the frequency of the patient's requests for help to him

Time frame: 1 day

Elapsed time for questionnaire completion

The survey software will automatically count the elapsed time for completion of the questionnaires. The time will start in the moment, when the patient accesses the website and it will end when he presses the finish button

Central Contacts

Ana Kowark, MD

CONTACT

+49241800 akowark@ukaachen.de

Data from ClinicalTrials.gov

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