Delirium MedDRA version: 20.0 Level: PT Classification code 10012218 Term: Delirium System Organ Class: 10037175 - Psychiatric disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age > 60 years • Planned elective surgery • High-risk of developing delirium according to the DEMO model • Absence of delirium pre-operatively Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 366 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 1000
Exclusion criteria
Exclusion criteria: • Less than 1-day postoperative admission on ward • Hypersensitivity to butyrophenone-derivatives • Use of antipsychotics • Not being able to take oral medication • Presence of contraindications; o lesions of the basal ganglia, o clinically significant heart disease, o known prolongation of the QT interval, o history of ventricular arrhythmia and ‘torsades de pointes’, o uncorrected hypokalemia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The hospital pharmacy at the Zuyderland Medical Centre developed the DElirium MOdel (DEMO) to predict which patients are at risk of developing a delirium in patients aged 60 or older. With this delirium risk prediction model we aim to predict more accurately which patients are at high risk of developing a delirium and want to investigate if these patients can benefit from prophylactic haloperidol. ;Secondary Objective: • Costs of treatment • Days admitted to hospital • Adverse events of intervention medication • Circulating concentration of haloperidol • Duration of delirium • Severity of delirium (DOSS);Primary end point(s): Delirium incidence within five days after surgery;Timepoint(s) of evaluation of this end point: 5 days after admission | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • Costs of treatment • Days admitted to hospital • Adverse events of intervention medication • Circulating concentration of haloperidol • Duration of delirium • Severity of delirium (DOSS) ;Timepoint(s) of evaluation of this end point: 5 days after admission | — |
Countries
Netherlands
Contacts
Zuyderland Medical Center