An observational study in Older Adults (65 Years and Older), Postoperative Care and Preoperative Care, sponsored by Örebro University, Sweden. Not yet recruiting. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2026-08-13.
Sponsored by Örebro University, Sweden · Observational
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.
Örebro University, Sweden is the lead sponsor of 86 studies on the registry; 14 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Older persons aged 65 or older. Next of kin and staff working at a nursing home.
Preoperative concerns and health literacy
Inclusion 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:
Exclusion Criteria:
-Cognitive decline
Other: No intervention
Other: No intervention
Other: No intervention
No intervention
Preoperative concerns
Preoperative concerns in older adults (PCOA) is a questionnaire developed by Li et al. PCOAS will be translated to Swedish and psychometrically evaluated. Minimum value 1, maximum value 5 per item and a higher score means higher concerns.
Time frame: Before surgery.
Interviews with older persons and next-of-kin
The interviews will investigate how an older person living in a nursing home can be involved in their care before and after an operation.
Time frame: The interview will be conducted at one time point approximately 60 minutes.
Interviews with staff
The interviews will investigate how is the perioperative care process for older people living in nursing homes perceived and organized from the perspective of the staff?
Time frame: The interview will be conducted at one time point approximately 60 minutes.
Health literacy
The HLS19-Q12 ( (Health Literacy Population Survey 2019-2021) instrument will be used to measure general health literacy. HLS19-Q12 is scaled from 0 to 100. A higher score value signifies a higher level of general HL.
Time frame: Before surgery.
Perioperative outcomes
Surgical time in minutes
Time frame: 12 months
Perioperative outcomes
The Swedish PeriOperative Registry (SPOR) includes perioperative data. Clinical Frailty Scale (CFS), minimum 1 and maximum 9, with a cutoff of 4 will be used to classify high vs. low frailty .
Time frame: 12 month
Perioperative outcomes.
The Swedish PeriOperative Registry (SPOR) includes perioperative data. Quality of recovery-15 (QoR-15) minimum 0 and maximum 10 with a lower score indicating worse recovery, and mortality within 6 months ).
Time frame: 12 month
Perioperative outcomes
Postoperative complications at the PACU: PONV yes/no, n(%), pain in numeric rating scale, POUR in milliliter, hypothermia in Celcius
Time frame: Before discharge from the PACU
Perioperative outcomes
Lenght of stay in hours
Time frame: At discharge from the PACU
Perioperative outcomes
Baseline data : age in yrs, height in meters, BMI kg/m\^2 , biological sex in n(%), ASA-classification in n(%), elective/acute surgery in n(%), intraoperative positioning in n(%)
Time frame: Baseline
No study locations are listed for this record.
Plan to share: No
No publications or documents are linked to this record.
This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.
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Örebro University, Sweden