Early Nurse Detection and Management of Delirium (NCT01505257) | Clinical Trial Compass
CompletedNot Applicable
Early Nurse Detection and Management of Delirium
United States391 participantsStarted 2010-04
Plain-language summary
Delirium (acute confusion) is common and costly in persons with dementia, resulting in longer hospital stays, more complications, and greater functional decline. This research tests the use of the electronic health record, education, and regular feedback to nurses to improve detection and management of delirium. Ultimately, findings will direct ways to improve acute care of this vulnerable population.
Who can participate
Age range
65 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Persons with dementia will be included if they: a) are on one of the selected medical-surgical units and are age 65 years or older; b) have been hospitalized less than 48 hours; and c) meet the criteria for dementia. The study will include minorities and women.
Exclusion Criteria:
* Persons with dementia will be excluded if they have any significant neurological or neurosurgical disease associated with cognitive impairment other than dementia (due to confounding with dementia or DSD), such as:
* Lewy Body Dementia
* Huntington's disease
* Sormal pressure hydrocephalus
* Seizure disorder
* Subdural hematoma
* Head trauma
* Known structural brain abnormalities
* Nonverbal and unable to communicate due to severe dementia (MMSE=0)
* Aphasia
* Intubation
* Terminal illness (since interviews are required for the study).
* This study will not exclude persons with pre-existing delirium.
* In addition, subjects will not be excluded on the basis of race or gender.
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Severity of Delirium
Timeframe: Participants will be assessed daily until discharge (duration of hospitalization), which is expected to be about 5 days
2
Inappropriate CNS-Active Medication Use
Timeframe: Participants will be assessed daily until discharge (duration of hospitalization), which is expected to be about 5 days
3
Nurse Detection of Delirium
Timeframe: Participants will be assessed every shift until discharge (duration of hospitalization), which is expected to be about 5 days
4
Delirium Duration
Timeframe: Participants will be assessed daily until discharge (duration of hospitalization), which is expected to be about 5 days