The Perioperative Pathway for Older Adults

The Perioperative Pathway for Older Adults -a Mixed Method Study

Registry ID
NCT07764289
Source registry
NCT
Status
NOT_YET_RECRUITING
Study type
OBSERVATIONAL
Sponsor
Örebro University, Sweden
Enrollment
1000000
Start date
2026-10-01
Completion date
2030-01-01
Last update
2026-08-13

Conditions

Summary

More than 1.5 million people undergo surgery in Sweden each year, and over 770,000 of them are aged 65 years or older. Older adults often have more complex health needs and may require additional support throughout the surgical care process. Surgical care can be divided into three phases: before, during, and after surgery. Before surgery, older adults may need to improve their health status and prepare for the procedure. Many also feel worried about the surgery and recovery. It is important that patients understand the information they receive and are involved in decisions about their care. However, some older adults find it difficult to understand health information or to ask questions, which can make participation in care more challenging. Recovery after surgery means returning to the same level of function as before surgery, or adjusting to a new level if needed. For older adults, recovery can take longer and often continues after leaving the hospital. Support during this period is important for a safe and successful recovery. The POP project aims to improve the care and support provided to older adults undergoing surgery. The project focuses on identifying gaps and differences in current care and improving support throughout the entire surgical pathway, regardless of the type of surgery. There is currently limited knowledge about how older adults in Sweden experience the surgical care process. By increasing this understanding, the project aims to support improvements in care and outcomes for older adults.

Interventions

Inclusion criteria

Preoperative concerns and health literacy Inclusion Criteria: * 65 years and older * Being able to read and understand Swedish

Exclusion criteria

Exclusion Criteria: -Cognitive decline Perioperative outcomes Inclusion Criteria: -65 years and older Interviews with staff Inclusion Critera: -Working in a nursing home as a nurse assistant or a nurse with experience of pre- and postoperative care Interviews with older persons and next-of-kin Inclusion Criteria: * Living at a nursing home with an experience of undergoing surgery or being a next-of-kin to someone living at a nursing home * Being able to understand Swedish Exclusion Criteria: -Cognitive decline

Primary outcomes

[{"measure":"Preoperative concerns","timeFrame":"Before surgery."},{"measure":"Interviews with older persons and next-of-kin","timeFrame":"The interview will be conducted at one time point approximately 60 minutes."},{"measure":"Interviews with staff","timeFrame":"The interview will be conducted at one time point approximately 60 minutes."},{"measure":"Health literacy","timeFrame":"Before surgery."}]

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