Our hypothesis is that by implementing the prehabilitation program, the rate of delirium will be decreased from 18% to 9%.
ID
Bron
Verkorte titel
Aandoening
Chronic Limb Threatening Ischemia (CLTI)
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Postoperative delirium
Achtergrond van het onderzoek
The primary aim of our study is to reduce the incidence of delirium among patients >65 years with chronic limb threatening ischemia, requiring revascularization by implementing a multicomponent multidisciplinary prehabilitation program.
Doel van het onderzoek
Our hypothesis is that by implementing the prehabilitation program, the rate of delirium will be decreased from 18% to 9%.
Onderzoeksopzet
Preoperative, admission, 6 months, 12 months
Onderzoeksproduct en/of interventie
Prehabilitation program. Participants will be screened by a nurse practitioner, physiotherapist and dietician. In case of criteria for frailty (as described in ‘appendix’), a geriatrician will perform a comprehensive geriatric assessment (CGA). Depending on this baseline analysis, patients may receive iron infusion and/or vitamin supplementation, recommendations concerning daily exercise and dietary supplements and guidance in reducing alcohol and/or nicotine use. They are asked to keep track of their activities in a daily diary
Publiek
Wetenschappelijk
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
In order to be eligible to participate in this study, a subject must meet all of the following criteria:
- Aged 65 years or older
- All genders
- All ethnicities
- Diagnosis of CLTI (Chronic Limb Threatening Ischemia), based on either:
o Anamnestic complaints of ischemic rest pain or night pain
o (Minor) tissue loss, non-healing ulcer and/or focal gangrene with diffuse pedal ischemia[11]
o Impaired perfusion, quantified by a flat or barely pulsatile ankle or metatarsal PVR (pulse volume recording), a low resting ankle pressure, a low ankle brachial index and/or a low toe pressure.
- Indication and informed consent to undergo either endovascular or surgical treatment
- No need to start treatment earlier then 3 weeks, counting from the moment of diagnosis
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
A potential subject who meets any of the following criteria will be excluded from participation in this study:
- Dementia according to DSM-V
- Inability to complete questionnaires, due to either lingual or cognitive incompetence.
- Need for urgent surgery (<3 weeks)
Opzet
Deelname
Voornemen beschikbaar stellen Individuele Patiënten Data (IPD)
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In overige registers
| Register | ID |
|---|---|
| NTR-new | NL9380 |
| Ander register | MEC-U : W21.061 |