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A complex intervention to promote prevention of delirium in older adults by targeting caregiver’s participation during and after hospital discharge – study protocol of the TRAnsport and DElirium in older people (TRADE) project
BACKGROUND: Among potentially modifiable risk factors for delirium, transfers between wards, hospitals and other facilities have been mentioned with low evidence. TRADE (TRAnsport and DElirium in older people) was set up to investigate i) the impact of transfer and/or discharge on the onset of delir...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594294/ https://www.ncbi.nlm.nih.gov/pubmed/34784883 http://dx.doi.org/10.1186/s12877-021-02585-0 |
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author | Leinert, Christoph Brefka, Simone Braisch, Ulrike Denninger, Natascha Mueller, Martin Benzinger, Petra Bauer, Juergen Bahrmann, Anke Frey, Norbert Katus, Hugo A. Geisler, Tobias Eschweiler, Gerhard Klaus, Jochen Seufferlein, Thomas Schuetze, Konrad Gebhard, Florian Dreyhaupt, Jens Muche, Rainer Pahmeier, Kathrin Biermann-Stallwitz, Janine Wasem, Juergen Flagmeier, Lena Dallmeier, Dhayana Denkinger, Michael |
author_facet | Leinert, Christoph Brefka, Simone Braisch, Ulrike Denninger, Natascha Mueller, Martin Benzinger, Petra Bauer, Juergen Bahrmann, Anke Frey, Norbert Katus, Hugo A. Geisler, Tobias Eschweiler, Gerhard Klaus, Jochen Seufferlein, Thomas Schuetze, Konrad Gebhard, Florian Dreyhaupt, Jens Muche, Rainer Pahmeier, Kathrin Biermann-Stallwitz, Janine Wasem, Juergen Flagmeier, Lena Dallmeier, Dhayana Denkinger, Michael |
author_sort | Leinert, Christoph |
collection | PubMed |
description | BACKGROUND: Among potentially modifiable risk factors for delirium, transfers between wards, hospitals and other facilities have been mentioned with low evidence. TRADE (TRAnsport and DElirium in older people) was set up to investigate i) the impact of transfer and/or discharge on the onset of delirium in older adults and ii) feasibility and acceptance of a developed complex intervention targeting caregiver’s participation during and after hospital discharge or transfer on cognition and the onset of delirium in older adults. METHODS: The study is designed according to the guidelines of the UK Medical Research Council (MRC) for development and evaluation of complex interventions and comprises two steps: development and feasibility/piloting. The development phase includes i) a multicenter observational prospective cohort study to assess delirium incidence and cognitive decline associated with transfer and discharge, ii) a systematic review of the literature, iii) stakeholder focus group interviews and iv) an expert workshop followed by a Delphi survey. Based on this information, a complex intervention to better and systematically involve family caregivers in discharge and transport was developed. The intervention will be tested in a pilot study using a stepped wedge design with a detailed process and health economic evaluation. The study is conducted at four acute care hospitals in southwest Germany. Primary endpoints are the delirium incidence and cognitive function. Secondary endpoints include prevalence of caregiver companionship, functional decline, cost and cost effectiveness, quality of discharge management and quality of admission management in admitting hospitals or nursing homes. Data will be collected prior to discharge as well as after 3, 7 and 90 days. DISCUSSION: TRADE will help to evaluate transfer and discharge as a possible risk factor for delirium. In addition, TRADE evaluates the impact and modifiability of caregiver’s participation during patient’s transfer or discharge on delirium incidence and cognitive decline providing the foundation for a confirmatory implementation study. TRIAL REGISTRATION: DRKS (Deutsches Register für klinische Studien) DRKS00017828. Registered on 17th September 2019. Retrospectively registered. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-021-02585-0. |
format | Online Article Text |
id | pubmed-8594294 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-85942942021-11-16 A complex intervention to promote prevention of delirium in older adults by targeting caregiver’s participation during and after hospital discharge – study protocol of the TRAnsport and DElirium in older people (TRADE) project Leinert, Christoph Brefka, Simone Braisch, Ulrike Denninger, Natascha Mueller, Martin Benzinger, Petra Bauer, Juergen Bahrmann, Anke Frey, Norbert Katus, Hugo A. Geisler, Tobias Eschweiler, Gerhard Klaus, Jochen Seufferlein, Thomas Schuetze, Konrad Gebhard, Florian Dreyhaupt, Jens Muche, Rainer Pahmeier, Kathrin Biermann-Stallwitz, Janine Wasem, Juergen Flagmeier, Lena Dallmeier, Dhayana Denkinger, Michael BMC Geriatr Study Protocol BACKGROUND: Among potentially modifiable risk factors for delirium, transfers between wards, hospitals and other facilities have been mentioned with low evidence. TRADE (TRAnsport and DElirium in older people) was set up to investigate i) the impact of transfer and/or discharge on the onset of delirium in older adults and ii) feasibility and acceptance of a developed complex intervention targeting caregiver’s participation during and after hospital discharge or transfer on cognition and the onset of delirium in older adults. METHODS: The study is designed according to the guidelines of the UK Medical Research Council (MRC) for development and evaluation of complex interventions and comprises two steps: development and feasibility/piloting. The development phase includes i) a multicenter observational prospective cohort study to assess delirium incidence and cognitive decline associated with transfer and discharge, ii) a systematic review of the literature, iii) stakeholder focus group interviews and iv) an expert workshop followed by a Delphi survey. Based on this information, a complex intervention to better and systematically involve family caregivers in discharge and transport was developed. The intervention will be tested in a pilot study using a stepped wedge design with a detailed process and health economic evaluation. The study is conducted at four acute care hospitals in southwest Germany. Primary endpoints are the delirium incidence and cognitive function. Secondary endpoints include prevalence of caregiver companionship, functional decline, cost and cost effectiveness, quality of discharge management and quality of admission management in admitting hospitals or nursing homes. Data will be collected prior to discharge as well as after 3, 7 and 90 days. DISCUSSION: TRADE will help to evaluate transfer and discharge as a possible risk factor for delirium. In addition, TRADE evaluates the impact and modifiability of caregiver’s participation during patient’s transfer or discharge on delirium incidence and cognitive decline providing the foundation for a confirmatory implementation study. TRIAL REGISTRATION: DRKS (Deutsches Register für klinische Studien) DRKS00017828. Registered on 17th September 2019. Retrospectively registered. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12877-021-02585-0. BioMed Central 2021-11-16 /pmc/articles/PMC8594294/ /pubmed/34784883 http://dx.doi.org/10.1186/s12877-021-02585-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Leinert, Christoph Brefka, Simone Braisch, Ulrike Denninger, Natascha Mueller, Martin Benzinger, Petra Bauer, Juergen Bahrmann, Anke Frey, Norbert Katus, Hugo A. Geisler, Tobias Eschweiler, Gerhard Klaus, Jochen Seufferlein, Thomas Schuetze, Konrad Gebhard, Florian Dreyhaupt, Jens Muche, Rainer Pahmeier, Kathrin Biermann-Stallwitz, Janine Wasem, Juergen Flagmeier, Lena Dallmeier, Dhayana Denkinger, Michael A complex intervention to promote prevention of delirium in older adults by targeting caregiver’s participation during and after hospital discharge – study protocol of the TRAnsport and DElirium in older people (TRADE) project |
title | A complex intervention to promote prevention of delirium in older adults by targeting caregiver’s participation during and after hospital discharge – study protocol of the TRAnsport and DElirium in older people (TRADE) project |
title_full | A complex intervention to promote prevention of delirium in older adults by targeting caregiver’s participation during and after hospital discharge – study protocol of the TRAnsport and DElirium in older people (TRADE) project |
title_fullStr | A complex intervention to promote prevention of delirium in older adults by targeting caregiver’s participation during and after hospital discharge – study protocol of the TRAnsport and DElirium in older people (TRADE) project |
title_full_unstemmed | A complex intervention to promote prevention of delirium in older adults by targeting caregiver’s participation during and after hospital discharge – study protocol of the TRAnsport and DElirium in older people (TRADE) project |
title_short | A complex intervention to promote prevention of delirium in older adults by targeting caregiver’s participation during and after hospital discharge – study protocol of the TRAnsport and DElirium in older people (TRADE) project |
title_sort | complex intervention to promote prevention of delirium in older adults by targeting caregiver’s participation during and after hospital discharge – study protocol of the transport and delirium in older people (trade) project |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594294/ https://www.ncbi.nlm.nih.gov/pubmed/34784883 http://dx.doi.org/10.1186/s12877-021-02585-0 |
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