Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Non-pharmacological Prevention of Postoperative Delirium by Occupational Therapy Teams in Patients Older Than 75 Years Undergoing High-risk Elective Surgery
Brief Summary: In the world, 230 million surgeries are performed every year and US data indicates that more than a third of patients who undergo surgery are older than 65 years, in which between 10 and 70% develop postoperative delirium (POD). Patients who develop POD have poor outcomes, such as a longer hospital stay, a deterioration in functional and cognitive status, high mortality rates, and an increase in health costs.

Delirium is an entity that in a significant percentage is preventable, thus preventing the development of POD is fundamental. In fact, in older adults hospitalized in the no surgical ward, the implementation of non-pharmacological prevention measures of delirium has consistently shown to significantly prevent the development of this condition. However, limited information is available about the usefulness of non-pharmacological intervention protocols applied in the perioperative context to prevent POD.

The main aim of this project is to determine whether the application of non-pharmacological measures during the perioperative period prevents POD in elderly patients undergoing highly complex elective surgeries.

The hypothesis is that the application of these measures decreases the incidence of delirium in this population.


Options:
A: Arm Label: Liberal (10 g/dL) Transfusion Strategy; Type: EXPERIMENTAL; Interventions: Biological: Liberal (10 g/dL) Transfusion Strategy | Arm Label: 2; Type: ACTIVE_COMPARATOR; Interventions: Biological: Restrictive (Symptomatic) Transfusion Strategy | Intervention Type: BIOLOGICAL; Name: Liberal (10 g/dL) Transfusion Strategy; Assigned to Arm(s): Liberal (10 g/dL) Transfusion Strategy | Intervention Type: BIOLOGICAL; Name: Restrictive (Symptomatic) Transfusion Strategy; Assigned to Arm(s): 2
B: Arm Label: Anesthesiology Control Tower Control; Type: NO_INTERVENTION; Interventions: N/A | Arm Label: Anesthesiology Control Tower Feedback; Type: EXPERIMENTAL; Interventions: Other: Anesthesiology Control Tower Feedback | Intervention Type: OTHER; Name: Anesthesiology Control Tower Feedback; Assigned to Arm(s): Anesthesiology Control Tower Feedback
C: Arm Label: Control; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Standard non-pharmacological prevention intervention | Arm Label: Treatment; Type: EXPERIMENTAL; Interventions: Behavioral: Occupational therapy intervention, Behavioral: Standard non-pharmacological prevention intervention | Intervention Type: BEHAVIORAL; Name: Occupational therapy intervention; Assigned to Arm(s): Treatment | Intervention Type: BEHAVIORAL; Name: Standard non-pharmacological prevention intervention; Assigned to Arm(s): Control, Treatment
D: Arm Label: Cognitive Exercise; Type: EXPERIMENTAL; Interventions: Other: Mini-Mental State Examination, Other: Self-Administered Gerocognitive Examination, Other: Geriatric Depression Scale, Other: Charlson Comorbidity Index, Other: Short Form 36 Health Survey, Other: Confusion Assessment Method, Other: Memorial Delirium Assessment Scale, Other: Postoperative Quality of Recovery Scale | Arm Label: Normal Activity; Type: PLACEBO_COMPARATOR; Interventions: Other: Mini-Mental State Examination, Other: Self-Administered Gerocognitive Examination, Other: Geriatric Depression Scale, Other: Charlson Comorbidity Index, Other: Short Form 36 Health Survey, Other: Confusion Assessment Method, Other: Memorial Delirium Assessment Scale, Other: Postoperative Quality of Recovery Scale | Intervention Type: OTHER; Name: Mini-Mental State Examination; Assigned to Arm(s): Cognitive Exercise, Normal Activity | Intervention Type: OTHER; Name: Self-Administered Gerocognitive Examination; Assigned to Arm(s): Cognitive Exercise, Normal Activity | Intervention Type: OTHER; Name: Geriatric Depression Scale; Assigned to Arm(s): Cognitive Exercise, Normal Activity | Intervention Type: OTHER; Name: Charlson Comorbidity Index; Assigned to Arm(s): Cognitive Exercise, Normal Activity | Intervention Type: OTHER; Name: Short Form 36 Health Survey; Assigned to Arm(s): Cognitive Exercise, Normal Activity | Intervention Type: OTHER; Name: Confusion Assessment Method; Assigned to Arm(s): Cognitive Exercise, Normal Activity | Intervention Type: OTHER; Name: Memorial Delirium Assessment Scale; Assigned to Arm(s): Cognitive Exercise, Normal Activity | Intervention Type: OTHER; Name: Postoperative Quality of Recovery Scale; Assigned to Arm(s): Cognitive Exercise, Normal Activity

Answer: C