Can the Hospital's Architectural Design Affect the Incidence and Treatment of Delirium in Geriatric Patients? A Comparison Between Single-bed and Multibed Rooms
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,014
- 试验地点
- 1
- 主要终点
- Duration of delirium
研究概览
简要总结
To investigate whether single-bed rooms can prevent and reduce incidence and duration of delirium compared to multi-bed rooms in elderly patients admitted to a geriatric department. In addition, it is investigated whether single-bed rooms reduce the use of psychotropic drugs, opioids, parenteral medication, fixed guard, falls, hospitalization and discharge to institution among delirious patients. Furthermore, to study if delirium is associated with of re-hospitalization, traumatic fall, institutionalization and death within 30 days, compared to those who do not develop delirium.
详细描述
Design:
The project will be conducted as an observational prospective cohort study. Patients hospitalized in the period from the 15th September 2016 to the 1th September 2017 which meet the criteria are included
Inclusion Criteria:
Patients 75 Years and older admitted to Geriatric ward at Aarhus University Hospital.
Exclusion Criteria:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients 75 Years and older admitted to Geriatric ward and at Aarhus University Hospital in the period from the 15th of September 2016 to the 1th of September 2017.
排除标准
- •Patients who upon admission are dying assessed by a specialist in geriatrics
- •Patients with apoplexy where aphasia is present
- •Patients with severe dementia without language
- •Patients who are inability to understand or speak Danish
结局指标
主要结局
Duration of delirium
时间窗: Repeated measurements twice a day at 7-11 AM and at 5-10 PM. From first day at admission on the geriatric ward until discharge. The average hospitalization period is 7 days. Longitudinal data collection.
Delirium diagnosed by positive CAM test - Danish version. Incidence of delirium is measured by the first positive CAM score. Duration of delirium is defined by 1 or more consecutive positive CAM scores, and ends if there have been three consecutive negative CAM scores. Duration is measured in half days.
Delirium
时间窗: Repeated measurements twice a day at 7-11 AM and at 5-10 PM. From first day at admission on the geriatric ward until discharge. The average hospitalization period is 7 days. Longitudinal data collection.
Delirium diagnosed using the Confusion Assessment Method (CAM) - Danish version. Incidence of delirium is measured by the first positive CAM score. Duration of delirium is defined by 1 or more consecutive positive CAM scores, and ends if there have been three consecutive negative CAM scores. Duration is measured in half days.
次要结局
- Length of hospital stay (LOS)(First day at admission on the geriatric ward and until discharge. The average length of hospital stay is 7 days.)
- Re-hospitalization(0-30 days after discharge)
- Death(0-365 days after admission)
- Use of Psychotropic drug(First day at admission on the geriatric ward at 20:00 PM and until discharge. The average length of hospital stay is 7 days.)
- Changes in medication - Opioid(First day at admission on the geriatric ward at 20:00 PM and until discharge. The average length of hospital stay is 7 days.)
- Fixed guard at the patient(First day at admission on the geriatric ward at 20:00 PM and until discharge. The average length of hospital stay is 7 days.)
- Discharge to own home or institutionalization(At discharge from geriatric ward. 0-1 hours after discharge.)
- Traumatic fall(First day at admission on the geriatric ward at 20:00 PM and until discharge. The average length of hospital stay is 7 days.)
- Changes in consumption of medicine(First day at admission on the geriatric ward at 20:00 PM and until discharge. The average length of hospital stay is 7 days.)