An intervention integrated into daily clinical practice reduces the incidence of delirium during hospitalization in elderly patients

Journal of the American Geriatrics Society

Volumn 57, Issue 11, 2009, Pages 2029-2036

  Vidán, María T ^a   Sánchez, Elisabet ^a   Alonso, Mar ^a   Montero, Beatriz ^a   Ortiz, Javier ^a   Serra, José A ^a  

^a HOSPITAL GENERAL UNIVERSITARIO GREGORIO MARAÑÓN   (Spain)

Author keywords

Delirium reduction; Elderly; Hospitalization; Intervention

Indexed keywords

PSYCHOTROPIC AGENT; SEDATIVE AGENT;

ACUTE DISEASE; AGED; AGING; ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL PRACTICE; CLINICAL PROTOCOL; CLINICAL TRIAL; COGNITIVE DEFECT; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DAILY LIFE ACTIVITY; DEHYDRATION; DELIRIUM; DIET SUPPLEMENTATION; DISEASE COURSE; DISEASE DURATION; DISEASE SEVERITY; DRUG DOSE REDUCTION; DRUG USE; EXERCISE; FEMALE; FLUID THERAPY; GERIATRIC HOSPITAL; HEALTH CARE QUALITY; HEALTH EDUCATION; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; INCIDENCE; INTERVENTION STUDY; MAJOR CLINICAL STUDY; MALE; MOBILIZATION; NUTRITION; ORIENTATION; PATIENT CARE; PATIENT COMPLIANCE; PRACTICE GUIDELINE; PROSPECTIVE STUDY; REHYDRATION; RISK FACTOR; SENSORY DYSFUNCTION; SLEEP; SPAIN; VISUAL IMPAIRMENT;

ACTIVITIES OF DAILY LIVING; AGED; AGED, 80 AND OVER; APACHE; COMBINED MODALITY THERAPY; COOPERATIVE BEHAVIOR; CROSS-SECTIONAL STUDIES; DELIRIUM; FEMALE; HOSPITALIZATION; HUMANS; INCIDENCE; INSERVICE TRAINING; INTERDISCIPLINARY COMMUNICATION; MALE; MENTAL STATUS SCHEDULE; PATIENT CARE TEAM; RISK FACTORS; SPAIN;

EID: 70350433674     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2009.02485.x     Document Type: Article

References (35)

1. Siddiqui N, House AO, Holmes JD. Occurrence and outcome of delirium in medical in-patients: A systematic literature review. Age Ageing 2006 35 : 350 364.
2. Holmes JD, House AO. Psychiatric illness in hip fracture. Age Ageing 2000 29 : 537 546.
3. Williams-Russo P, Urquhart BL, Sharrock NE et al. Post-operative delirium: Predictors and prognosis in elderly orthopedic patients. J Am Geriatr Soc 1992 40 : 759 767.
4. Mc Cusker J, Cole MG, Abrahamowicz M et al. Delirium predicts 12-month mortality. Arch Intern Med 2002 162 : 457 463.
5. Murray AM, Levkoff SE, Wetle TT et al. Acute delirium and functional decline in the hospitalized elderly patient. J Gerontol 1993 48 : M181 M186.
6. Cole MG, Primeau FJ. Prognosis of delirium in elderly hospital patients. Can Med Assoc J 1993 149 : 41 46.
7. Inouye SK, Rushing JT, Foreman MD et al. Does delirium contribute to poor hospital outcomes? A three-site epidemiologic study. J Gen Intern Med 1998 13 : 234 242.
8. Nagley SJ. Predicting and preventing confusion in your patients. J Gerontol Nurs 1986 12 : 27 31.
9. Wanich CK, Sullivan-Marx EM, Gottlieb GL et al. Functional status outcomes of a nursing intervention in hospitalised elderly. Image J Nurs Sch 1992 24 : 201 207.
10. Cole MG, Fenton FR, Engelsmann F et al. Effectiveness of geriatric psychiatric consultation in an acute care hospital: A randomised clinical trial. J Am Geriatr Soc 1991 39 : 1183 1188.
11. Cole MG, Primeau FJ, Bailey RF et al. Systematic intervention for elderly inpatients with delirium: A randomized trial. CMAJ 1994 151 : 965 970.
12. Aizawa I, Kannai T, Saikawa Y et al. A novel approach to the prevention of postoperative delirium in the elderly after gastrointestinal surgery. Surgery Today 2002 32 : 310 314.
13. Kalisvaart K, de Jonghe J, Bogaards M et al. Haloperidol prophylaxis for elderly hip surgery patients at risk for delirium: A randomized placebo-controlled study. J Am Geriatr Soc 2005 53 : 1658 1666.
14. Lipzin B, Laki A, Garb J et al. Donepezil in the prevention and treatment of post-surgical delirium. Am J Geriatr Psychiatry 2005 13 : 1100 1106.
15. Marcantonio ER, Flacker JM, Wright RJ et al. Reducing delirium after hip fracture: A randomised trial. J Am Geriatr Soc 2001 49 : 516 522.
16. Inouye S K, Bogardus ST, Charpentier PA et al. A multicomponent intervention to prevent delirium in hospitalised older patients. N Eng J Med 1999 340 : 669 676.
17. Inouye SK, Bogardus ST, Baker DI et al. The Hospital Elder Life Program: A model of care to prevent cognitive and functional decline in older hospitalised patients. J Am Geriatr Soc 2000 48 : 1697 1706.
18. Bradley EH, Schlesinger M, Webster TR et al. Translating research into clinical practice: Making change happen. J Am Geriatr Soc 2004 52 : 1875 1882.
19. Bradley EH, Webster TR, Baker D et al. After adoption: Sustaining the innovation. A case study of disseminating the Hospital Elder Life Program. J Am Geriatr Soc 2005 53 : 1455 1461.
20. Inouye SK, Baker DI, Fugal B et al. Dissemination of the Hospital Elder Life Program: Implementation, adaptation and successes. J Am Geriatr Soc 2006 54 : 1492 1499.
21. Inouye SK, Viscoli CM, Horwitz RI et al. A predictive model for delirium in hospitalized elderly medical patients based on admission characteristics. Ann Intern Med 1993 119 : 474 481.
22. Lobo A, Sanz P, Marcos G et al. Revalidation and standardization of the cognition mini exam (first Spanish version of the Mini Mental State examination) in the general geriatric population. MedClin (Barc) 1999 112 : 767 774.
23. Folstein MF, Folstein SE, McHugh PR. "Mini Mental State" a practical method for grading the cognitive sate of patients for the clinician. J Psychiatr Res 1975 12 : 189 198.
24. Inouye SK, van Dyck CH, Alessi CA et al. Clarifying confusion: The confusion assessment method. A new method for detection of delirium. Ann Intern Med 1990 113 : 941 948.
25. Knaus WA, Draper EA, Wagner DP et al. APACHE II: A severity of disease classification system. Crit Care Med 1985 13 : 818 829.
26. Wei LA, Fearing MA, Sternberg EJ et al. The confusion assessment method: A systematic review of current usage. J Am Geriatr Soc 2008 56 : 823 830.
27. Katz S, Ford AB, Moskowitz RW et al. The index of ADL: A standardized measure of biological and psychosocial function. JAMA 1963 185 : 914 919.
28. Holden MK, Gill KM, Magliozzi MR et al. Clinical gait assessment in the neurologically impaired. Phys Ther 1984 64 : 35 40.
29. MacPhee GJ, Crowther JA, McAlpine CH. A simple screening test for hearing impairment in elderly patients. Age Ageing 1988 17 : 347 351.
30. Charlson ME, Pompei R, Ales KL et al. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis 1987 40 : 373 383.
31. Naugton BJ, Saltzman S, Ramadan F et al. A multifactorial intervention to reduce prevalence of delirium and shorten hospital length of stay. J Am Geriatr Soc 2005 53 : 1445 1446.
32. Karuza J, Calkins E, Feather J et al. Enhancing physician adoption of practice guidelines. Arch Intern Med 1995 155 : 625 632.
33. Davis DA, Taylor-Vaisey A. Translating guidelines into practice: A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. Can Med Assoc J 1997 157 : 408 416.
34. Milisen K, Foreman MD, Abraham IL et al. A nurse-led interdisciplinary program for delirium in elderly hip fracture patients. J Am Geriatr Soc 2001 49 : 523 532.
35. Lundstrom M, Edlund A, Karlsson S et al. A multifactorial intervention program reduces the duration of delirium, length of hospitalization, and mortality in delirious patients. J Am Geriatr Soc 2005 53 : 622 628.