Special orthopaedic geriatrics (SOG) - a new multiprofessional care model for elderly patients in elective orthopaedic surgery: a study protocol for a prospective randomized controlled trial of a multimodal intervention in frail patients with hip and knee replacement
| Autor: | Kappenschneider, Tobias, Maderbacher, Günther, Weber, Markus, Greimel, Felix, Holzapfel, Dominik Emanuel, Parik, Lukas, Schwarz, Timo, Leiss, Franziska, Knebl, Michael, Reinhard, Jan, Schraag, Amadeus Dominik, Thieme, Max, Turn, Agathe, Götz, Julia, Zborilova, Magdalena, Pulido, Loreto C., Azar, Fady, Spörrer, Jan-Frederik, Oblinger, Britta, Pfalzgraf, Frederik, Sundmacher, Leonie, Iashchenko, Iryna, Franke, Sebastian, Trabold, Benedikt, Michalk, Katrin, Grifka, Joachim, Meyer, Matthias |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Male
Aged 80 and over ddc:610 Hip Fractures Orthogeriatric Orthogeriatric co-management (OGC) Geriatric Total hip arthroplasty (THA) Total knee arthroplasty (TKA) Elderly patients Frailty Multiprofessional care Perioperative Care of Older Persons (POPS) Comprehensive geriatric assessment (CGA) Arthroplasty Replacement Hip 610 Medizin Treatment Outcome Rheumatology Elective Surgical Procedures Animals Humans Orthopedics and Sports Medicine Orthopedic Procedures Arthroplasty Replacement Knee Aged Randomized Controlled Trials as Topic |
| Popis: | BackgroundDue to demographic change, the number of older people in Germany and worldwide will continue to rise in the coming decades. As a result, the number of elderly and frail patients undergoing total hip and knee arthroplasty is projected to increase significantly in the coming years. In order to reduce risk of complications and improve postoperative outcome, it can be beneficial to optimally prepare geriatric patients before orthopaedic surgery and to provide perioperative care by a multiprofessional orthogeriatric team. The aim of this comprehensive interventional study is to assess wether multimorbid patients can benefit from the new care model of special orthopaedic geriatrics (SOG) in elective total hip and knee arthroplasty.MethodsThe SOG study is a registered, monocentric, prospective, randomized controlled trial (RCT) funded by the German Federal Joint Committee (GBA). This parallel group RCT with a total of 310 patients is intended to investigate the specially developed multimodal care model for orthogeriatric patients with total hip and knee arthroplasty (intervention group), which already begins preoperatively, in comparison to the usual orthopaedic care without orthogeriatric co-management (control group). Patients ≥70 years of age with multimorbidity or generally patients ≥80 years of age due to increased vulnerability with indication for elective primary total hip and knee arthroplasty can be included in the study. Exclusion criteria are age DiscussionStudies have shown that orthogeriatric co-management models in the treatment of hip fractures lead to significantly reduced morbidity and mortality rates. However, there are hardly any data available on the elective orthopaedic care of geriatric patients, especially in total hip and knee arthroplasty. In contrast to the care of trauma patients, optimal preoperative intervention is usually possible.Trial registrationGerman Clinical Trials Register DRKS00024102. Registered on 19 January 2021. |
| Databáze: | OpenAIRE |
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