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Delirium-Prevention Program for Postoperative Delirium (PROMoTE Trial)
N/A
Recruiting
Led By Stephen Choi, MD, MSc
Research Sponsored by Sunnybrook Health Sciences Centre
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Undergoing major elective surgery (e.g., intra-abdominal, retroperitoneal, major orthopedic) with an expected postoperative stay of at least 1 night
≥ 60 years old
Must not have
Patients undergoing cardiac surgery
Patients undergoing intracranial neurosurgery
Timeline
Screening 3 weeks
Treatment Varies
Follow Up twice daily on postoperative days 1-3, morning/late afternoon
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing if a delirium-reduction program can help reduce postoperative delirium (POD) in older surgical patients.
Who is the study for?
This trial is for older adults (60+) who are having major elective surgery with a hospital stay of at least one night and show signs of cognitive impairment on initial tests. It's not for those undergoing heart or brain surgery, with substance use disorders, or who may not follow the study plan.
What is being tested?
The trial is testing a program designed to prevent delirium after surgery in older patients. This includes pre-surgery cognitive tests to identify risk, care team recommendations, and educational materials for patients and families on preventing confusion post-surgery.
What are the potential side effects?
Since the intervention involves non-medical strategies like sleep aid and hydration rather than drugs, there are no direct side effects from medications. However, stress related to changes in routine or misunderstandings about the prevention measures could occur.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am scheduled for a major surgery that requires at least one night in the hospital.
Select...
I am 60 years old or older.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I am scheduled for heart surgery.
Select...
I am scheduled for brain surgery.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ twice daily on postoperative days 1-3, morning/late afternoon
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~twice daily on postoperative days 1-3, morning/late afternoon
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Incidence of POD before and after implementation of an institutional prospective diagnostic program.
Secondary study objectives
Delirium Severity
Hospital length of stay
Unit adherence rate to CHASM principles
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Active Control
Group I: Standard of CareActive Control1 Intervention
Standard of care
Group II: InterventionActive Control1 Intervention
Multicomponent delirium-risk prevention bundle
Find a Location
Who is running the clinical trial?
Sunnybrook Health Sciences CentreLead Sponsor
674 Previous Clinical Trials
1,565,229 Total Patients Enrolled
Stephen Choi, MD, MScPrincipal InvestigatorSunnybrook Health Sciences Centre
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am scheduled for heart surgery.I am 60 years old or older.I am scheduled for a major surgery that requires at least one night in the hospital.You have signs of memory or thinking problems on the initial screening tests.You have told your doctor that you have a problem with using drugs or alcohol.I am scheduled for brain surgery.
Research Study Groups:
This trial has the following groups:- Group 1: Standard of Care
- Group 2: Intervention
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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