Manejo Ambiental Profilactico Del Delirium Intrahospitalario
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 287
- 试验地点
- 1
- 主要终点
- Incidence of Delirium
研究概览
简要总结
Delirium is a complex neuropsychiatric syndrome with an acute onset and fluctuating course which is presented in 15 to 20% of patients admitted to general wards. It is a potentially life - threatening complication which can be prevented. It is the objective of this randomized controlled trial to evaluate whether a multicomponent environmental intervention could reduce the incidence of delirium in a general medical ward.
详细描述
A total of 287 patients 65 years of age or older who had been admitted to a general medicine ward and who were at risk of delirium were studied. Eligible patients were randomized to a multicomponent environmental intervention or standard care. Both groups were well balanced in patients characteristics and followed during the full hospital stay by a group trained in the application of the confusion assessment method to detect incident delirium.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Above 65 years of age and one of the following:
- •Age above 70 years.
- •Alcoholism
- •Cognitive deficit (Mini mental state examination <24 points)
- •Metabolic disturbance (Hyponatremia, Hypernatremia, Hyperkalemia, Hypokalemia Hyperglycemia or Hypoglycemia)
排除标准
- •Delirium at admission.
- •Admittance to a ward other than general internal medicine.
- •Lack of family support.
- •Informed consent refusal.
- •Hospitalization in a room with more than two beds.
研究组 & 干预措施
Standard Care
Delirium management defined by the attending physician.
干预措施: Standard Care (Other)
Environmental Intervention
干预措施: Environmental Intervention (Other)
结局指标
主要结局
Incidence of Delirium
时间窗: Daily during the entire hospital stay (Average: 10 days, Maximum: 42 days)
New episodes of delirium during the hospital stay
次要结局
- Incidence of Falls(Daily during the entire hospital stay (Average: 10 days, Maximum: 42 days)
研究者
Felipe Martinez
Prophylactic Environmental Management of Delirium (MAPDI)
Universidad de Valparaiso