Quality Contract: Prevention of Postoperative Delirium in the Care of Older Patients (QV-POD)

  • STATUS
    Recruiting
  • End date
    Jun 22, 2023
  • participants needed
    2200
  • sponsor
    Charite University, Berlin, Germany
Updated on 22 September 2021

Summary

The project "QV-Delirium" is based on the decision of the Federal Joint Committee (G-BA) from 2017. The aim is to improve inpatient care for older patients who are undergoing inpatient surgery and thus to specifically reduce the postoperative risk of delirium. This is achieved through the implementation of evidence-based and consensus-based measures to prevent postoperative delirium in a comprehensive structured concept in routine care. The transparent documentation in an electronic patient file enables the relationships between the symptoms to be depicted in accordance with the clinical circumstances and the genesis of the postoperative delirium to be recorded and treated at an early stage.The independent Institute for Quality Assurance and Transparency in Health Care (IQTIG) receives the elements predefined (e.g. incidence of delirium) by IQTIG with which the quality is measured. The content of the additional elements from the routine data (see primary and secondary outcome measures) is merged internally and with BARMER and other health insurance data for a joint evaluation.

Subproject 1:

Preoperative evaluation of systolic and diastolic heart function in patients of the QV delirium cohort:

In this process, this subproject relates to the evaluation of patients during the premedication visit. During the visit, an evaluation of the heart function using TTE should also take place in order to be able to evaluate later whether there is a association between the preoperative cardiac function examined and the development of postoperative delirium. The parameters to be collected are for the systolic heart function (LVEF, TAPSE, rest LV-SV and SVI, LVCO, LVCI LV / RV index, as well as for the diastolic dysfunction according to current recommendations (Nagueh SF et al., 2016) : MV DecT, MV E / A ratio, E'lat, E'sept, E ', E / E', IVRT-LV, S ', A', LAVI, tricuspid valve flow in tricuspid valve insufficiency: TR V max.

Subproject 2 starts at 01.10.2021:

Anonymous quantitative employee (nurses and doctors) survey on the content of the quality contract with regard to employee satisfaction, feasibility, effectiveness, efficiency (cost-benefit balance), acceptance, needs, quality of the introduction, quality of the implementation.

Details
Condition Delirium in Old Age
Clinical Study IdentifierNCT04355195
SponsorCharite University, Berlin, Germany
Last Modified on22 September 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Age 70 years
male and female patients
Patients who are insured with BARMER or hkk Health insurance
Patients eligible for inclusion: by the patient, preoperatively
Incapacitated patients for inclusion: Written informed consent by a legal representative
surgery (elective and not elective)

Exclusion Criteria

Moribund patients (palliative situation)
Not enough language skills
Clear my responses

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