The PAUSE Trial: Lessons About Surgical Pause
Author Information
Author(s): Arya Shipra
Primary Institution: Stanford University
Hypothesis
Can frailty screening and referral to a multidisciplinary board improve outcomes for high-risk older adults undergoing surgery?
Conclusion
The PAUSE trial shows that formative evaluation can provide actionable insights to improve the implementation of surgical care for older adults.
Supporting Evidence
- The PAUSE trial includes Veterans from three different hospitals.
- A multidisciplinary board was created to help optimize surgical care.
- Key stakeholders identified barriers to implementing the new model.
Takeaway
This study is about helping older people get ready for surgery by checking if they are frail and getting them the right help before their operation.
Methodology
A hybrid effectiveness implementation step-wedge cluster randomized trial was conducted with Veterans scheduled for elective surgery.
Limitations
Limited time, staff shortages, and concerns about potential delays in surgery were identified as barriers to implementation.
Participant Demographics
Veterans scheduled for elective surgery at three tertiary care VAMCs.
Digital Object Identifier (DOI)
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