Modifying the Inpatient Environment to Reduce Delirium in Older Adults
Modifying the Inpatient Environment to Reduce the Incidence and Burden of Delirium Among Hospitalized Older Adults (≥70 Years).
Farhaan S. Vahidy
10,890 participants
Jun 1, 2024
INTERVENTIONAL
Conditions
Summary
The overall goal is to reduce the incidence and burden of delirium, as measured by the delirium burden index (DBI) among hospitalized older adults (≥70 years), by modifying the inpatient environment to decrease its sleep antagonism. The investigators propose to implement a multi-modal sleep hygiene (MMSH) bundle, an enhancement of a previously reported sleep-focused intervention which had 88 - 100% compliance for intervention components, and reduced ICU delirium by 50%.
Eligibility
Inclusion Criteria4
- Non-critically ill patients (≥70 years)
- All sexes
- All races and ethnicities
- Admitted to the pre-specified clinical units which are part of the study
Exclusion Criteria4
- Patients with active alcohol or substance withdrawal.
- Patients with acute psychiatric illness
- Patients with initial admission to intensive care unit including requirement for mechanical ventilation.
- Patients present on a unit at the time of unit randomization
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Interventions
Focus on Noise Reduce Noise Perception, Reduce Hallway Noise, Reduce Noise in Rooms Focus on Light Reduce Lights at Night, Increase Light in Day, Reduce Light Perception Focus on Staff-Patient Interactions Delirium Screening, Avoid Care Procedures at Night, Z-time Plan \& Prep Focus on Daytime Activity Increased Mobility, Increase Patient Engagement Focus on Medications Pain Management, Medication Monitoring, Continue pharmacy protocols, Timing of Medications/Monitoring Labs
Locations(5)
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NCT06736951