The Hospital Elder Life Program at the Jewish General Hospital

Delirium Clinical Trial

— HELP  

Official title:

A Measure of the Effects of the Hospital Elder Life Program at the Jewish General Hospital: a Pre-post Intervention Study

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT03628014
• Other study ID #: CODIM-MBM-17-182
• Status: Terminated
• Phase: N/A
• Start date: February 5, 2018
• Est. completion date: May 30, 2018

Study information

• Verified date: February 2019
• Source: Jewish General Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Older patients (i.e.; ≥ 65 years) with a hip fracture, and who are admitted to orthopedics for surgery are particularly at risk of adverse health events such as delirium, recurrent falls and prolonged hospital stay caused by their frailty status. The Hospital Elder Life Program (HELP) is a comprehensive inpatient-care program that ensures optimal care for older adults in the hospital and, thus, might reduce the incidence of postoperative adverse health events. The overall objective of this study is to examine in a quantitative fashion the effects of the HELP program on adverse health events in geriatric inpatients admitted to the orthopedic ward at JGH for surgery after a hip fracture.

Description:

Delirium and mobility impairment with high risk of falls are important medical complications after a hip surgery. More than 95% of hip fractures are caused by falling and the risk of a new fall after a hip surgery may be up to 50%. Both postoperative delirium and fall are associated with increased length of stay and high perioperative mortality.

The Hospital Elder Life Program (HELP) is a comprehensive inpatient-care program that ensures optimal care for older adults in the hospital. The primary goals of the HELP program are:

Maintaining cognitive and physical functioning of high risk older adults throughout hospitalization, maximizing independence at discharge, assisting with the transition from hospital to home, and preventing unplanned hospital readmissions. These goals have been accomplished using a multicomponent intervention strategy. In addition to targeted interdisciplinary geriatric assessment, the program uses an innovative volunteer model to provide personal, supportive attention to vulnerable older inpatients.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 51
• Est. completion date: May 30, 2018
• Est. primary completion date: May 30, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• age 65 and over

• admitted to orthopedic ward for hip surgery after a fracture

Exclusion Criteria:

• younger than 65 years of age

• palliative care

Related Conditions & MeSH terms

• Delirium
• Fall Injury
• Mortality

Intervention

Other:
• Inpatient-care program
Patients enrolled in the Hospital Elder Life Program can receive four types of personalized volunteer-led interventions based on the needs identified by the care team. These interventions include: Daily orientation and visiting program Basic active movements Meal assistance Recreational activities

Locations

Country	Name	City	State
Canada	Jewish General Hospital	Montréal	Quebec

Sponsors (1)

Lead Sponsor	Collaborator
Jewish General Hospital

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Presence of delirium after a hip surgery	As measure will be used the CAM ( Confusion Assessment Method)	24 hours after surgery
Secondary	Number of falls before having a hip fracture	The number of falls are recorded in medical chart	Up to one month
Secondary	In-hospital mortality	Mortality during hospitalization.	Up to one month