The Hospital Elder Life Program (HELP) a multicomponent targeted intervention to prevent delirium in hospitalized older patients. A study on efficacy and cost-effectiveness in Dutch health care.

Completed

Conditions: acute confusion
loss of orientation
10012221

Registration Number: NL-OMON37868

Lead Sponsor: niversitair Medisch Centrum Utrecht

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 1080

Inclusion Criteria

-Patients are at least 70 years of age
-Have no delirium at the time of admission, and are considered at risk for delirium at admission as determined by the VMS criteria (www.vmsveiligheid.nl)
According to these criteria at least on of the following three questions has to be answered positive to include a patient with an increased risk of delirium:
- Dou you have memory problems?
- During the past 24-hours did you need assistance for your daily self-care?
- Were you confused during earlier hospital admissions or illnesses?

Exclusion Criteria

-Older patients in life threatening situations or with a terminal illness at admission.
-Patients with an expected hospital stay of 24 hours or less.
-Patients who are legally incapable of participating or with precluded verbal communication.
-In case of a language barrier.
-Patients with profound aphasia.
-Patients with intubation or respiratory isolation

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The primary outcome of the study is the incidence of delirium. Secondary<br /><br>outcomes include delirium duration (number of days) and severity, length of<br /><br>stay, care consumption up to three months after admission, experienced quality<br /><br>of the care process by patients, family, professionals and trained volunteers.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Secondary outcomes include delirium duration (number of days) and severity,<br /><br>length of stay, care consumption up to three months after admission,<br /><br>experienced quality of the care process by patients, family, professionals and<br /><br>trained volunteers.</p><br>