Delirium in Geriatric Hospital Single-bed and Multibed Rooms

NCT03199768 | Completed DMC

• 1 other identifier: Delirium in geriatric patients
• Study Type: observational
• Target: 1,014
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Delirium; Older Patients; Admittance to Single-bed Rooms or Multi-bed Rooms

Keywords

architecture; delirium; environment; hospital design and construction

Outcome Measures

Primary Outcomes (2)

• Delirium

  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.

  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.

• Duration of delirium

  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.

  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.

Secondary Outcomes (9)

• 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.

• 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.

• 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.

• 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.

Study Arms (2)

Single-bed rooms

Patients are admitted to single-bed rooms at the newly built hospital in the period 20th of March to the 1th of September 2017

Multi-bed rooms

Patients are admitted at multi-bed rooms with one to two fellow patients at the old hospital in the period 15th of September 2016 to the 19th of March 2017

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Old patients (aged ≥75 years), acutely admitted to a geriatric ward at Aarhus University Hospital for both diseases that need medical and/or surgical treatment.

You may qualify if:

• 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.

You may not qualify if:

• 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

Sponsors & Collaborators

• Aarhus University Hospital: lead
• University of Aarhus: collaborator

Study Sites (1)

University of Aarhus, Health

Aarhus, 8000, Denmark

Location

Related Publications (3)

• Siddiqi N, Harrison JK, Clegg A, Teale EA, Young J, Taylor J, Simpkins SA. Interventions for preventing delirium in hospitalised non-ICU patients. Cochrane Database Syst Rev. 2016 Mar 11;3(3):CD005563. doi: 10.1002/14651858.CD005563.pub3.

  PMID: 26967259 BACKGROUND

• Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet. 2014 Mar 8;383(9920):911-22. doi: 10.1016/S0140-6736(13)60688-1. Epub 2013 Aug 28.

  PMID: 23992774 BACKGROUND

• Caruso P, Guardian L, Tiengo T, Dos Santos LS, Junior PM. ICU architectural design affects the delirium prevalence: a comparison between single-bed and multibed rooms*. Crit Care Med. 2014 Oct;42(10):2204-10. doi: 10.1097/CCM.0000000000000502.

  PMID: 25226117 RESULT

MeSH Terms

Conditions

Delirium

Condition Hierarchy (Ancestors)

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

Study Officials

• Else Marie Damsgaard, Professor

  Department of Geriatrics , Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, Building J, J513, DK-8200 Aarhus N

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 1, 2017
• First Posted: June 27, 2017
• Study Start: September 15, 2016
• Primary Completion: December 31, 2017
• Study Completion: December 31, 2017
• Last Updated: July 6, 2018

Record last verified: 2017-10

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)