F05.0 I63.0
Conditions
Interventions
Group 1: It is a quality improvement study, strictly speaking without intervention, but with a before / after phase. Patients in the after-phase receive structured delirium management including a) eva
Sponsors
Universitätsklinikum Schleswig-Holstein, Pflegeforschung, Campus Kiel
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: All patients are included a) = 18 years, b) admission with suspected acute stroke on the stroke unit c) who give their consent to the research with their data. All employees of the medical, nursing and therapeutic staff are included in personnel surveys.
Exclusion criteria
Exclusion criteria: All patients are excluded a) who have been treated in a hospital for >24 hours before their admission and for whom a pre-existing delirium cannot be excluded, b) with impaired consciousness, which makes it impossible to determine the delirium c) with a high probability of death within 24 or 48 hours, d) which cannot be examined for delirium for other reasons (e.g. deaf, total aphasia). In terms of personnel, all persons are excluded who a) work for education / studies, b) as temporary workers or pool employees on the stroke unit
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome parameter is the severity of the delirium. During the entire stay on the stroke unit, the parameter is assessed three times a day by nurses using the Nursing Delirium Screening Checklist (range 0-10 points, =4 = delirium, higher values indicate a greater severity of delirium) and a test for attention. A positive result will be validated by a specialist. The highest value during the stay will be counted. | — |
Secondary
| Measure | Time frame |
|---|---|
| Delirium incidence and duration, score on the modified Rankin Scale, length of stay on stroke unit, hospital days, mortality, sum of anticholinergics, non-pharmacological interventions, complications of a delirium for the duration of a follow-up of 28 days. Additionally in Center Kiel: disability after 90 days, Centers Kiel & Neumünster: correlation of the EEG and Cholinesterase with delirium, Centers Kiel & Flensburg: study performance Centers Kiel, Flensburg, Schleswig, Neumünster: Knowledge and attitude of the staff Center Berlin: Development of a prediction score for delirium Center Saarbrücken: Continuity of care. | — |
Countries
Germany
Contacts
Public ContactPeter Nydahl
Universitätsklinikum Schleswig-Holstein, Pflegeforschung, Campus Kiel
Outcome results
None listed