Translating Delirium Prevention Strategies for Elderly Adults with Hip Fracture into Routine Clinical Care: A Pragmatic Clinical Trial

Journal of the American Geriatrics Society

Volumn 65, Issue 3, 2017, Pages 567-573

  Freter, Susan ^a,b   Koller, Katalin ^a,b   Dunbar, Michael ^a   MacKnight, Chris ^a,b   Rockwood, Kenneth ^a,b  

^a DALHOUSIE UNIVERSITY   (Canada)

^b QUEEN ELIZABETH II HEALTH SCIENCES CENTRE   (Canada)

Author keywords

delirium; dementia; hip fracture; knowledge translation

Indexed keywords

ANTIBIOTIC AGENT; CHLORAL HYDRATE; DIMENHYDRINATE; HALOPERIDOL; HYPNOTIC AGENT; LAXATIVE; MORPHINE; PARACETAMOL; TRAZODONE; ZOPICLONE; ANALGESIC AGENT; ANTIPARKINSON AGENT; SEROTONIN UPTAKE INHIBITOR;

AGED; ARTICLE; CATHETER REMOVAL; COGNITIVE DEFECT; CONTROLLED STUDY; DIARRHEA; FEMALE; HIP FRACTURE; HOSPITAL MORTALITY; HOSPITALIZATION; HUMAN; INTERVENTION STUDY; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MINI MENTAL STATE EXAMINATION; NURSING HOME; POSTOPERATIVE CARE; POSTOPERATIVE DELIRIUM; POSTVOID RESIDUAL URINE VOLUME; RANDOMIZED CONTROLLED TRIAL; REFUSAL TO PARTICIPATE; SINGLE BLIND PROCEDURE; TERTIARY CARE CENTER; TOTAL QUALITY MANAGEMENT; TREATMENT OUTCOME; VERY ELDERLY; BLADDER CATHETERIZATION; DEHYDRATION; DELIRIUM; HIP FRACTURES; NURSING; ORTHOPEDIC NURSING; POSTOPERATIVE COMPLICATIONS;

AGED; AGED, 80 AND OVER; ANALGESICS; ANTI-DYSKINESIA AGENTS; DEHYDRATION; DELIRIUM; FEMALE; HALOPERIDOL; HIP FRACTURES; HUMANS; LAXATIVES; LENGTH OF STAY; MALE; ORTHOPEDIC NURSING; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; SEROTONIN UPTAKE INHIBITORS; TRAZODONE; URINARY CATHETERIZATION;

EID: 85005773689     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/jgs.14568     Document Type: Article

References (31)

1. Holroyd-Leduc JM, Abelseth GA, Khandwala F et al. A pragmatic study exploring the prevention of delirium among older hip fracture patients: Applying evidence to routine clinical practice using decision support. Implement Sci 2010;5:81–86.
2. Marcantonio ER. Postoperative delirium: A 76 year old woman with delirium following surgery. JAMA 2012;308:73–81.
3. Tabet N, Howard R. Non-pharmacologic al interventions in the prevention of delirium. Age Ageing 2009;38:374–379.
4. American Geriatrics Society Expert Panel. Postoperative delirium in older adults: Best practice statement from the American Geriatrics Society. J Am Coll Surg 2015;220:136–148.
5. Abraha I, Trotta F, Rimland JM et al. Efficacy of non-pharmacological interventions to prevent and treat delirium in older patients: A systematic overview. The SENATOR project ONTOP series. PLoS ONE 2015;10:e0123090.
6. Reston JT, Schoelles KM. In-facility delirium prevention programs as a patients safety strategy. Ann Intern Med 2013;158:375–380.
7. Lundström M, Edlund A, Lundström G et al. Reorganization of nursing and medical care to reduce the incidence of postoperative delirium and improve rehabilitation outcome in elderly patients treated for femoral neck fractures. Scand J Caring Sci 1999;13:193–200.
8. Lundstrom M, Olofsson B, Stenvall M et al. Postoperative delirium in old patients with femoral neck fracture: A randomized intervention study. Aging Clin Exp Res 2007;19:178–186.
9. Tabet N, Hudson S, Sweeney V et al. An educational intervention can prevent delirium on acute medical wards. Age Ageing 2005;34:152–156.
10. Deschodt M, Braes T, Flamaing J et al. Preventing delirium in older adults with recent hip fracture through multidisciplinary geriatric consultation. J Am Geriatr Soc 2012;60:733–739.
11. Marcantonio ER, Flacker JM, Wright RJ et al. Reducing delirium after hip fracture: A randomized trial. J Am Geriatr Soc 2001;49:516–522.
12. Inouye SK, Bogardus ST, Charpentier PA et al. A multi component intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999;340:669–676.
13. Inouye SK, Borgardus ST Jr, Baker DI et al. The Hospital Elder Life Program: A model of care to prevent cognitive and functional decline in older hospitalized patients. J Am Geriatr Soc 2000;48:1697–1706.
14. Kristensen PK, Thillemann TM, Soballe K et al. Can improved quality of care explain the success of orthogeriatric units? A population-based cohort study. Age Ageing 2016;45:66–71.
15. Aw D, Sahota O. Orthogeriatrics moving forward. Age Ageing 2014;43:301–305.
16. Fosnight SM, Allen KR, Holder CM et al. A strategy to decrease the use of risky drugs in the elderly. Cleveland Clin J Med 2004;71:561–568.
17. Bjorkelund KB, Hommel A, Thorngren KG et al. Reducing delirium in elderly patients with hip fracture: A multi-factorial intervention study. Acta Anaesthesiol Scand 2010;54:678–688.
18. Siddiqi N. Predicting delirium: Time to use delirium risk scores in routine practice? Age Ageing 2016;45:9–10.
19. Freter SH, Dunbar MJ, MacLeod H et al. Predicting post-operative delirium in elective orthopaedic patients: The Delirium Elderly At Risk (DEAR) instrument. Age Ageing 2005;34:169–184.
20. Freter SH, George J, Dunbar MJ et al. Prediction of delirium in fractured neck of femur as part of routine preoperative nursing care. Age Ageing 2005;34:387–409.
21. Freter SH, Dunbar MJ, Koller K et al. Risk of pre- and post-operative delirium and the Delirium Elderly at Risk (DEAR) tool in hip fracture patients. Can Geriatr J 2015;18:212–216.
22. Folstein MF, Folstein SE. ‘Mini-mental state’. A practical guide for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189–198.
23. Inouye SK, van Dyck CH, Alessi CA et al. Clarifying confusion: The Confusion Assessment Method. Ann Intern Med 1990;113:941–948.
24. Alberta Cancer Board. Alberta Hospice Palliative Care Resource Manual, 2nd Ed. Calgary, Alberta: Alberta Cancer Board, 2001.
25. Morrison RS, Magaziner J, Gilbert M et al. Relationship between pain and opioid analgesics on the development of delirium following hip fracture. J Gerontol A Biol Sci Med Sci 2003;58A:76–81.
26. Wang Y, Sands LP, Vaurio L et al. The effects of postoperative pain and its management on postoperative cognitive dysfunction. Am J Geriatr Psychiatry 2007;15:50–59.
27. Fong HK, Sands LP, Leung JM. The role of postoperative analgesia in delirium and cognitive decline in elderly patients: A systematic review. Anesth Analg 2006;102:1255–1266.
28. Sieber FE, Mears S, Lee H et al. Postoperative opioid consumption and its relationship to cognitive function in elderly hip fracture patients. J Am Geriatr Soc 2011;59:2256–2262.
29. Schug SA, Sidebotham DA, McGuinnety M et al. Acetaminophen as an adjunct to morphine by patient-controlled analgesia in the management of acute postoperative pain. Anesth Analg 1998;87:368–372.
30. Krishnan M, Beck S, Havelock W et al. Predicting outcome after hip fracture: Using a frailty index to integrate comprehensive geriatric assessment results. Age Ageing 2014;43:122–126.
31. Wei LA, Fearing MA, Sternberg E et al. The Confusion Assessment Method (CAM): A systematic review of current usage. J Am Geriatr Soc 2008;56:823–830.