The Modified Hospital Elder Life Program (HELP) in geriatric hospitalized patients in internal wards: A double-blind randomized control trial

Background Hospital Elder Life Program (HELP) provides protocols based on factors for reducing delirium. Due to the lack of geriatric wards and aged care teams in Iran, it seems that some of the original HELP interventions need to be modified through a trial study. Hence, this study was conducted to...

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Bibliographic Details
Published in:BMC geriatrics 2021-10, Vol.21 (1), p.1-599, Article 599
Main Authors: Kojaie-Bidgoli, A, Sharifi, F, Maghsoud, F, Alizadeh-Khoei, M, Jafari, F, Sadeghi, F
Format: Article
Language:English
Subjects:
Aged patients
Care and treatment
Caregivers
Clinical trials
Cognitive ability
Delirium
Developing countries
Double-blind studies
Elder care
Elderly
Geriatric
Geriatric nursing
Geriatrics
Hearing loss
Hospital costs
Hospital elder life program
Hospital patients
Hospitalization
Hydration
Immunoglobulins
Interdisciplinary aspects
Internal medicine
Iranian culture
LDCs
Length of stay
Medical protocols
Methods
Nurses
Nursing care
Older people
Patients
Population
Prevention
Risk factors
Teams
Volunteers
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Summary:Background Hospital Elder Life Program (HELP) provides protocols based on factors for reducing delirium. Due to the lack of geriatric wards and aged care teams in Iran, it seems that some of the original HELP interventions need to be modified through a trial study. Hence, this study was conducted to determine whether the Iranian modified HELP could reduce delirium in geriatric hospitalized patients. Methods This double-blind randomized controlled trial was designed and conducted in a hospital at Kashan University of Medical Sciences in Iran. A total of 195 hospitalized patients aged [greater than or equai to]70 years, were 84 in the Intervention Group (IG) and 111 in the Control Group (CG). After assessing delirium risk factors, participants in the IG group received interventions based on the cognitive, vision/hearing, sleep, mobility, feeding, and hydration protocols by nursing students and the CG group received routine care. Delirium incidence was assessed by the Confusion Assessment Method. Delirium incidence, cognitive and functional abilities, frailty, fall, and length of stay were outcomes. Results The mean age of the patients was 78.53(Standard Deviation = 5.87) years. Delirium incidence was higher in the CG comparing to IG (14.71% vs 3.66%).Significant reduction observed in risk incidence of delirium because of interventions [Odds Ratio:0.124, Confidence Interval: 0.03-0.48]. Conclusion The modified HELP effectively reduced delirium rates in geriatric hospitalized patients. Trial registration This study was registered at the Iranian Registry of Clinical Trials IRCT20180910040995N1. Keywords: Elderly, Patients, Delirium, Prevention, Geriatric, Hospital elder life program
ISSN:1471-2318
1471-2318
DOI:10.1186/s12877-021-02520-3