acute verwardheid, het delier tijdens ziekenhuisopname delirium during hospitalization
Conditions
Interventions
The Hospital Elder Life Program (HELP) is an innovative program. It is designed to prevent delirium and cognitive and functional decline in hospitalized older people. The strengths of the program incl
early intervention focusing on prevention, well-trained staff dedicated to the program, standardized intervention protocols, tracking of adherence to all protocols, and built-in quality assurance proc
2. Maximizing independence at discharge
3. Assisting with the transition from hospital to home
4. Preventing unplanned hospital readmissions.
HELP provides multicomponent protocols targeted at specific risk factors for delirium and introduces a different view on care organisation and a change
Sponsors
UMC Utrecht, Divisie Revalidatie, Verpleegwetenschappen en Sport
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients are at least 70 years of age; 2. Have no delirium and are considered at risk for delirium at admission.
Exclusion criteria
Exclusion criteria: 1. Older Ppatients in life threatening situations or in a terminal palliative phase at admission; 2. Patients with an expected hospital stay of 24 hours or less; 3. Patients who are legally incapable of participating; 4. Patients unable to communicate verbally; 5. Patients unable to communicate in Dutch; 6. Patients with profound aphasia; 7. Patients with intubation or respiratory isolation; 8. Patients with a second hospital admission on one of the participating units during the study period. If patients are transferred to a participating unit, they are treated as a newly admitted patient. If patients are transferred from a participating unit to a not participating unit, they are excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of the study is the incidence of delirium in the included patients, as diagnosed with the Confusion Assessment Method (CAM). | — |
Secondary
| Measure | Time frame |
|---|---|
| Health related quality of life (general quality of life, functional well being and emotional wellbeing) will be measured with the EQ-5D (37). The quality of care will be examined by means of focus groups. qualitative interviews with the patienQs and their family members will be conducted. The HELP-volunteers will participate in a focus or supervision/ intervision group. Cost-effectiveness: The primary effect parameter of the economic outcome evaluation will be the number of averted cases of delirium. The costs of the program will also be calculated ass well as the costs of care consumption. | — |
Contacts
Public ContactMarije Strijbos
UMC Utrecht Revalidatie, Verplegingswetenschap & Sport
Outcome results
None listed