Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
423 participants
INTERVENTIONAL
2018-11-22
2020-06-16
Brief Summary
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Detailed Description
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One Group received care after implementing the dementia-friendly hospital program. The study is performed at two medical wards at a large acute-care hospital in Norway. A medical pulmonary ward and a cardiac ward participated.
Data Collection:
Demographic data included age, gender, place of residence (home, adapted housing, institution), and family/relative network, and were obtained upon admission to the study.
Medical data included cause of admission, active medical diagnoses, medications and medical treatment, and were obtained both at admission and from their electronic medical records after discharge.
Cognitive Impairment and delirium were assessed with two different screening tools: the Four Assessment Test (4AT) and the Confusion Assessment Method (CAM).
For all patients with a positive 4AT (≥1) or identified cognitive impairment during their hospital stays, a thorough review of the patient's journal was conducted upon discharge to record if, in case of yes, which type of preventive or treatment measures according to the dementia-friendly program, the patients had received during their stays.
Conditions
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Study Design
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NA
SINGLE_GROUP
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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The dementia friendly hospital program
The dementia-friendly hospital program comprised three parts; 1) Educational program for health practitioners to increase the staff's knowledge and awareness of patients with cognitive impairment and/or delirium; 2) Screening, for early identification of cognitive impairment and delirium, using the Four Assessment Test (4AT); 3) Delirium risk factor modification and management for patients defined with potential cognitive impairment and risk of delirium, implying that risk factor modifications should be implemented in the patient's care plan. For patients with suspected delirium, the program promoted an additional delirium management plan.
The dementia friendly program
Implementation of a systematic screening and risk modification and management plan, to identify and enhance the management of patients with cognitive impairment and risk of delirium.
Interventions
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The dementia friendly program
Implementation of a systematic screening and risk modification and management plan, to identify and enhance the management of patients with cognitive impairment and risk of delirium.
Eligibility Criteria
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Inclusion Criteria
* acute admission to the cardiac or pulmonary wards.
* Patient who has given informed written consent, or proxy consent from relatives for patients who lacked cognitive capacity.
Exclusion Criteria
* Patients who do not have sufficient verbal function or hearing to communicate
* Patients in a coma or too ill to participate
* Patients who are isolated
* Patients who do not wish to participate or relatives who do not want the patient to participate, in the cases where the patient lacked cognitive capacity to consent.
75 Years
ALL
No
Sponsors
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University Hospital, Akershus
OTHER
Responsible Party
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Nina Mickelson Weldingh
Prinsipal Investigator
Principal Investigators
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Nina M Weldingh, Master
Role: PRINCIPAL_INVESTIGATOR
University Hospital, Akershus
Locations
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University hospital, Akershus
Lørenskog, , Norway
Countries
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References
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Weldingh NM, Mellingsaeter MR, Hegna BW, Benth JS, Einvik G, Juliebo V, Thommessen B, Kirkevold M. Impact of a dementia-friendly program on detection and management of patients with cognitive impairment and delirium in acute-care hospital units: a controlled clinical trial design. BMC Geriatr. 2022 Mar 31;22(1):266. doi: 10.1186/s12877-022-02949-0.
Other Identifiers
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2018/666(REK)
Identifier Type: -
Identifier Source: org_study_id
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