ChiCTR1900021274
尚未开始
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2019-02-10
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術後譫妄
Prevention of postoperative delirium among hip fracture patients
Effects of a poStoperative deliriuM cAre bundle to prevent postoperative deliRium in geriaTric hip fracture patients (SMART) programme on postoperative delirium among patients with hip fracture: A quasi-experimental study
The primary objective of this study is to examine the effects of the postoperative delirium care bundle in preventing hip fracture patients from developing postoperative delirium. The secondary objectives of this study are to examine the effects of such care bundle to reduce the severity and duration of postoperative delirium, mortality, cognitive functional decline, falls, length of stay, immobilisation, use of physical restraint and health care costs and to improve daily living activities.
非随机对照试验
其它
N/A
The orthopaedic nurses and OTs are not blinded to the intervention group as they need to perform assessments and follow the care plan to provide appropriate interventions to patients. DLNs are not masked to the group allocation as they need to make a recommendation list to corresponding patients. Patients will be blinded to group allocation. RAs will be masked to the trial design and group allocation.
Professional Development Training Funding
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180
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2019-03-01
2020-12-31
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1. aged at least 60 years considered as geriatric cases in local setting; 2. admitted to a study ward from the emergency department; 3. with planned hip fracture surgery within 72 hours after the hip fracture (a femoral neck fracture, the proximal femur, a trochanteric or a sub-trochanteric facture); 4. will be enrolled in this study within 24 hours of admission; 5. to be able to communicate in Cantonese; and 6. be willing to participate in this study.;
登录查看1. take antipsychotic medications (e.g. chlorpromazine, clozapine, olanzapine, risperidone, haloperidol, quetiapine, paliperidone, amisulpride and sertindole) (Avidan, Fritz, Maybrier, Muench & Escallier, 2018); 2. admit for a part of high-energy trauma such as traffic accident or are moribund on admission; 3. develop delirium upon surgery or plan to be admitted to the Intensive Care Unit after surgery.;
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