Modifying the Inpatient Environment to Reduce Delirium in Older Adults

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age70+
SponsorFarhaan S. Vahidy

About this trial

The overall goal is to reduce the incidence and burden of delirium, as measured by the delirium burden index (DBI) among hospitalized older adults (≥70 years), by modifying the inpatient environment to decrease its sleep antagonism. The investigators propose to implement a multi-modal sleep hygiene (MMSH) bundle, an enhancement of a previously reported sleep-focused intervention which had 88 - 100% compliance for intervention components, and reduced ICU delirium by 50%.

Eligibility criteria

Qualifiers

Non-critically ill patients (≥70 years)

All sexes

All races and ethnicities

Admitted to the pre-specified clinical units which are part of the study

Disqualifiers

Patients with active alcohol or substance withdrawal.

Patients with acute psychiatric illness

Patients with initial admission to intensive care unit including requirement for mechanical ventilation.

Patients present on a unit at the time of unit randomization

Trial design

Treatments tested in this trial

  • MMSH (Multi-Modal Sleep Hygiene) Bundle

Treatment groups

10,890 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Farhaan S. Vahidy

Lead sponsor

The Methodist Hospital Research Institute

Sponsor institution

Patient-Centered Outcomes Research Institute

Collaborator