Postoperative delirium is common in the elderly and is associated with a significant increase in mortality, complications, length of hospital stay and admission in long care facility. Several interventions have proved their effectiveness to prevent it but their combination within a multifaceted intervention needs to be assessed using rigorous methodology based on randomized study design. CONFUCIUS trial aims to measure the impact of a multifaceted program on the prevention of postoperative delirium in elderly.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
175
* A. Structured geriatric consultation will be performed by geriatricians of the MGT(Mobile Geriatric Teams) before surgery, including clinical examination and geriatric assessment * B. All members of medical and nursing staffs will attend a two hours training session performed by the MGTs and HELP(Hospital Elder Life Program) will be implemented in the surgical wards * C. On a quarterly basis, all members of medical and nursing staffs and MGTs will gathered to analyze medical records of patients having experienced a postoperative delirium.
Hospices Civils de Lyon-Hôpital des Charpennes
Villeurbanne, France
Postoperative delirium rate within 7 days after surgery
Time frame: 7 days after surgery
Mean delirium intensity within 7 days after surgery
Time frame: 7 days after surgery
Length of hospital stay
Time frame: Hospital discharge
Postoperative complications 30 days after surgery incidence
Time frame: 30 days after surgery
Mortality 6 months after surgery
Time frame: 6 months after surgery
Feasibility of the multidisciplinary prevention program
Time frame: 24 months
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