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. 2017:2017:1297164.
doi: 10.1155/2017/1297164. Epub 2017 Jan 10.

Nonpharmacological Interventions Targeted at Delirium Risk Factors, Delivered by Trained Volunteers (Medical and Psychology Students), Reduced Need for Antipsychotic Medications and the Length of Hospital Stay in Aged Patients Admitted to an Acute Internal Medicine Ward: Pilot Study

Stanislaw Gorski  1 , Karolina Piotrowicz  2 , Krzysztof Rewiuk  2 , Monika Halicka  3 , Weronika Kalwak  4 , Paulina Rybak  3 , Tomasz Grodzicki  2
Affiliations

Nonpharmacological Interventions Targeted at Delirium Risk Factors, Delivered by Trained Volunteers (Medical and Psychology Students), Reduced Need for Antipsychotic Medications and the Length of Hospital Stay in Aged Patients Admitted to an Acute Internal Medicine Ward: Pilot Study

Stanislaw Gorski et al. Biomed Res Int. 2017.

Abstract

Purpose. Effectiveness of nonpharmacological multicomponent prevention delivered by trained volunteers (medical and psychology students), targeted at delirium risk factors in geriatric inpatients, was assessed at an internal medicine ward in Poland. Patients and Methods. Participants were recruited to intervention and control groups at the internal medicine ward (inclusion criteria: age ≥ 75, acute medical condition, basic orientation, and logical contact on admission; exclusion criteria: life expectancy < 24 hours, surgical hospitalization, isolation due to infectious disease, and discharge to other medical wards). Every day trained volunteers delivered a multicomponent standardized intervention targeted at risk factors of in-hospital complications to the intervention group. The control group, selected using a retrospective individual matching strategy (1 : 1 ratio, regarding age, gender, and time of hospitalization), received standard care. Outcome Measures. Hospitalization time, deaths, falls, delirium episodes, and antipsychotic prescriptions were assessed retrospectively from medical documentation. Results. 130 patients (38.4% males) participated in the study, with 65 in the intervention group. Antipsychotic medications were initiated less frequently in the intervention group compared to the control group. There was a trend towards a shorter hospitalization time and a not statistically significant decrease in deaths in the intervention group. Conclusion. Nonpharmacological multicomponent intervention targeted at delirium risk factors effectively reduced length of hospitalization and need for initiating antipsychotic treatment in elderly patients at the internal medicine ward.

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Conflict of interest statement

The authors report no conflict of interests in this work.

Figures

Figure 1
Figure 1
The length of hospital stay in the intervention group and the control group (median time, days).
Figure 2
Figure 2
The frequency of initiation of antipsychotic medication in the intervention group and the control group.
See this image and copyright information in PMC

References

    1. Inouye S. K., Westendorp R. G., Saczynski J. S. Delirium in elderly people. The Lancet. 2014;383(9920):911–922. doi: 10.1016/S0140-6736(13)60688-1. - DOI - PMC - PubMed
    1. European Delirium Association. The DSM-5 criteria, level of arousal and delirium diagnosis: inclusiveness is safer. BMC Medicine. 2014;12(1, article 141) doi: 10.1186/s12916-014-0141-2. - DOI - PMC - PubMed
    1. Pitkala K. H., Laurila J. V., Strandberg T. E., Tilvis R. S. Prognostic significance of delirium in frail older people. Dementia and Geriatric Cognitive Disorders. 2005;19(2-3):158–163. doi: 10.1159/000082888. - DOI - PubMed
    1. Buurman B. M., Hoogerduijn J. G., de Haan R. J., et al. Geriatric conditions in acutely hospitalized older patients: prevalence and one-year survival and functional decline. PLOS ONE. 2011;6(11) doi: 10.1371/journal.pone.0026951.e26951 - DOI - PMC - PubMed
    1. Leslie D. L., Zhang Y., Holford T. R., Bogardus S. T., Leo-Summers L. S., Inouye S. K. Premature death associated with delirium at 1-year follow-up. Archives of Internal Medicine. 2005;165(14):1657–1662. doi: 10.1001/archinte.165.14.1657. - DOI - PubMed

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