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Modifying the Inpatient Environment to Reduce Delirium in Older Adults
Sponsor: Farhaan S. Vahidy
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%.
Official title: Modifying the Inpatient Environment to Reduce the Incidence and Burden of Delirium Among Hospitalized Older Adults (≥70 Years).
Key Details
Gender
All
Age Range
70 Years - Any
Study Type
INTERVENTIONAL
Enrollment
10890
Start Date
2024-06-01
Completion Date
2029-03-31
Last Updated
2024-12-17
Healthy Volunteers
No
Conditions
Interventions
MMSH (Multi-Modal Sleep Hygiene) Bundle
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)
Houston Methodist Baytown Hospital
Baytown, Texas, United States
Houston Methodist Hospital
Houston, Texas, United States
Houston Methodist Research Institute
Houston, Texas, United States
Houston Methodist West Hospital
Houston, Texas, United States
Houston Methodist Sugarland Hospital
Sugarland, Texas, United States