Delirium
Conditions
Brief summary
The aim of the study is to investigate whether supplemental camera observation directly linked to the nurse's phone will improve patient safety for acute medical care patients', who are restless, confused or in risk of development of acute delirium. The setting is an acute medical care ward. The expected result is a reduced incidence of patients with delirious condition, patients who fall or unintentionally remove intravenous access or catheters. Thus, higher patient safety and more efficient patient trajectories are expected, as well as a reduced need for treatment, care and rehabilitation after discharge.
Interventions
DEVICECamera observation
Supplemental camera observation directly linked to the nurse's phone
Sponsors
Aalborg University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Patients over 65 years of age with a CAM score of 2 or higher.
Exclusion criteria
* paranoia * severe dementia * suicidal * need for permanent guard
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Confusion Assessment Score | First measurement at admission and second measurement within 24 hours. | Assessed by Confusion Assessment Method (CAM) screening tool. Minimum value is 0, Maximum value is 4. Higher score means higher risk of developing Delirium. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patient falls | The time the patient is assessed during the observation period. | Incidence of patient falls observed by the nurse during the observation period. |
| Discontinuation of accesses | The time the patient is assessed during the observation period. | Number of patient discontinuation of e.g. oxygen mask, peripheral venous catheter, bladder catheters |
| Number of administrations of sedatives | The time the patient is assessed during the observation period. | Number of OR administrations and number of IV administrations (specific sedatives e.g. Methylphenidate, Haloperidol, Midazolam). |
Countries
Denmark
Outcome results
None listed