RecruitingNot ApplicableNCT04092504

Optimized Recovery After Trauma in Geriatric Patient

Optimized Recovery After Trauma in Geriatric Patient (Gero - ERAT)


Sponsor

Vastra Gotaland Region

Enrollment

540 participants

Start Date

May 9, 2019

Study Type

INTERVENTIONAL

Conditions

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.


Eligibility

Min Age: 65 Years

Inclusion Criteria3

  • ≥ 65 years old
  • In hospital due to physical trauma
  • Able to speak and understand Swedish

Exclusion Criteria2

  • Documented palliative care
  • Cognitive impairment

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Interventions

OTHERgero-erat

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.


Locations(1)

Sahlgrenska university hospital

Gothenburg, Sweden

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NCT04092504


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