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UKL breaks new ground in care with the LoTTE project

Leipzig University Hospital is developing a care approach that actively shapes demographic change rather than managing it. With the LoTTE project, the hospital is specifically gearing its surgical procedures towards older and very old patients, thereby responding to a development that has long been a reality. In Saxony, more than half of the approximately 840,000 hospital cases are already over 65 years old. The proportion of over 80-year-olds has almost doubled since 2005 and is now around 25 per cent.
21/04/2026

LoTTE stands for optimising quality of life through participation, therapy and empathy and starts early. Preparation begins around two weeks before admission and continues throughout the entire treatment process until after discharge. The focus is on a holistic approach that combines medical, functional and social factors. For older people, it is not only the diagnosis that determines success, but also mobility, cognitive stability and the environment. Personal support is a central element. Patients over 65 with several pre-existing conditions are assigned a fixed contact person who coordinates the entire process. Structured assessments help to recognise risks such as falls or delirium, a sudden onset of confusion, at an early stage and take targeted countermeasures. This is complemented by close co-operation between medicine, nursing, therapy and social services. For the clinic, LoTTE is more than just a project. It is a model for the future of care. Initial feedback shows a high level of satisfaction and greater involvement of those affected. In the future, data-based analyses will also help to identify risks earlier and further improve treatments.

Press release of "Universitätsklinikum Leipzig" from 21 April 2026

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