Sprint National Anaesthesia Project 3: An Observational Study And Audit Of Frailty, Multimorbidity and Delirium In Older People In The Perioperative Period (Australasian Arm)

Aims: The purpose of SNAP 3 is to investigate which patients are frail and which are at risk of delirium. It will investigate current perioperative care and its outcomes. Participants: Persons aged 60 years or older undergoing surgery requiring admission of at least one postoperative night. Methadology: Three parallel studies: S1 a) Prospective, observational cohort study of surgical patients who are at least 60 years old. S1 b) Retrospective Audit of surgical patients who are at least 60 years old. S2 Organisational survey of preoperative and postoperative care within hospitals. S3 Survey of acute referrals to and interventions by medical doctors in the perioperative period. OUTCOMES: We will report the proportions of patients with frailty, multiple medical problems, and delirium. We will identify relationships between management and outcomes. We will investigate how to predict who will develop delirium and how we can manage this. We aim to provide evidence to direct resources to manage perioperative frailty and delirium in the best way possible. We hope to understand what constitutes excellent care for frail patients, those with multiple medical problems and those at risk of delirium.