Delirium Clinical Trial
— DELINEATEVerified date | February 2017 |
Source | Vanderbilt University Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Delirium occurs in 10% of older emergency department (ED) patients, yet it remains poorly understood. To date, the predominance of delirium studies have been conducted in hospitalized patients and therefore have limited generalizability to the ED. Understanding ED delirium's natural course and its effect on outcomes is not well characterized. The investigators hypothesize that a significant proportion of patients who are delirious in the ED will remain delirious in the hospital, and persistent cases of ED delirium will be significantly associated with higher 6-month mortality and accelerated functional decline. To test this hypothesis, the investigators will perform a prospective cohort study that will enroll 150 older ED patients with delirium and a random selection of 150 older ED patients without delirium; both groups will comprise of admitted ED patients only. Once enrolled in the ED, the investigators will assess patients for 7 days during hospitalization and perform phone follow-up at 6-months.
Status | Completed |
Enrollment | 228 |
Est. completion date | April 30, 2015 |
Est. primary completion date | November 30, 2014 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - 65 Years and older - In an ED bed for less than 4 hours at the time of enrollment - Any possibility of being admitted to the hospital Exclusion Criteria: - Refuse consent - Have been previously enrolled - Unarousable to verbal stimuli - Have severe mental retardation or severe dementia characterized by being non-verbal or unable to comprehend simple instructions at baseline - Deaf - Patient or surrogate is non-English speaking - Discharged from the emergency department |
Country | Name | City | State |
---|---|---|---|
United States | Vanderbilt University Medical Center | Nashville | Tennessee |
Lead Sponsor | Collaborator |
---|---|
Vanderbilt University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | 6-month mortality and functional status. | We will perform 6-month phone follow-up to ascertain death and functional status. | 6-months | |
Primary | Emergency department delirium duration | Patients will be enrolled in the emergency department and will be assessed for delirium daily until hospital day #7 or hospital discharge. | Until hospital discharge or the first 7-days of hospitalization. |
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