e-CHAMP: Enhancing Care for Hospitalized Older Adults With Memory Problems

NCT00182832 | Completed

• 3 other identifiers: IA0077K23AG026770K23AG026779-01
• Study Type: interventional
• Target: 424
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate the effectiveness of a cognitive screening program coupled with a computerized decision support system in improving the quality of care for hospitalized older adults with cognitive impairment.

Conditions

Cognitive Impairment; Delirium

Keywords

Physician Behavior; Hospital Acquired Complications; MCI; Mild Cognitive Impairment

Outcome Measures

Primary Outcomes (2)

• Use of potentially inappropriate medications, urinary catheter or physical restraints, and length of time in initiating a referral order, as recorded in the electronic medical record

  baseline and at discharge

• Total number of hospital acquired complications recorded in the medical record that may be related to cognitive impairment (CI)

  baseline and at discharge

Secondary Outcomes (1)

• Length and cost of hospital stay from discharge records and billing system

  baseline, at discharge, 6 months post-discharge

Study Arms (2)

1

EXPERIMENTAL

Behavioral: e-CHAMP (Enhancing Care for Hospitalized Older Adults with Cognitive Impairment)

2

ACTIVE COMPARATOR

Behavioral: Standard Care

Interventions

e-CHAMP (Enhancing Care for Hospitalized Older Adults with Cognitive Impairment) BEHAVIORAL

Cognitive screening plus Computerized Decision Support System: proactive screening program for cognitive impairment combined with computerized review of the electronic medical record

Also known as: CDSS

1

Standard Care BEHAVIORAL

Standard care for hospitalized older patients with cognitive impairment

2

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• years of age or older
• Hospitalized in a medical ward
• Able to speak English
• Cognitive impairment based on screening at time of hospital admission

You may not qualify if:

• Previously enrolled in the study during prior hospitalization (for multiple admissions; only data from the first admission will be used)
• Enrolled in another clinical trial
• Does not have cognitive impairment based on screening at time of hospital admission

Sponsors & Collaborators

• Indiana University: lead
• National Institute on Aging (NIA): collaborator

Study Sites (1)

Wishard Memorial Hospital

Indianapolis, Indiana, 46202, United States

Location

Related Publications (6)

• Saravay SM, Kaplowitz M, Kurek J, Zeman D, Pollack S, Novik S, Knowlton S, Brendel M, Hoffman L. How do delirium and dementia increase length of stay of elderly general medical inpatients? Psychosomatics. 2004 May-Jun;45(3):235-42. doi: 10.1176/appi.psy.45.3.235.

  PMID: 15123850 BACKGROUND

• Marcantonio ER, Goldman L, Mangione CM, Ludwig LE, Muraca B, Haslauer CM, Donaldson MC, Whittemore AD, Sugarbaker DJ, Poss R, et al. A clinical prediction rule for delirium after elective noncardiac surgery. JAMA. 1994 Jan 12;271(2):134-9.

  PMID: 8264068 BACKGROUND

• Marcantonio ER, Juarez G, Goldman L, Mangione CM, Ludwig LE, Lind L, Katz N, Cook EF, Orav EJ, Lee TH. The relationship of postoperative delirium with psychoactive medications. JAMA. 1994 Nov 16;272(19):1518-22.

  PMID: 7966844 BACKGROUND

• McCusker J, Cole MG, Dendukuri N, Belzile E. Does delirium increase hospital stay? J Am Geriatr Soc. 2003 Nov;51(11):1539-46. doi: 10.1046/j.1532-5415.2003.51509.x.

  PMID: 14687382 BACKGROUND

• Marcantonio ER, Flacker JM, Michaels M, Resnick NM. Delirium is independently associated with poor functional recovery after hip fracture. J Am Geriatr Soc. 2000 Jun;48(6):618-24. doi: 10.1111/j.1532-5415.2000.tb04718.x.

  PMID: 10855596 BACKGROUND

• Harwood DM, Hope T, Jacoby R. Cognitive impairment in medical inpatients. I: Screening for dementia--is history better than mental state? Age Ageing. 1997 Jan;26(1):31-5. doi: 10.1093/ageing/26.1.31.

  PMID: 9143435 BACKGROUND

MeSH Terms

Conditions

Cognitive Dysfunction; Delirium

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders; Confusion; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Malaz Boustani, MD, MPH

  Regenstrief Institute, Inc.

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 9, 2005
• First Posted: September 16, 2005
• Study Start: June 1, 2006
• Primary Completion: December 1, 2008
• Study Completion: December 1, 2008
• Last Updated: April 13, 2016

Record last verified: 2016-04

Locations

US (1)