Delirium Zero protocol to prevent delirium after hip fracture surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized, single-blind, parallel two-arm trial at La Fe University and Polytechnic Hospital in Valencia comparing a Delirium Zero intervention delivered by a family caregiver with standard care. The Delirium Zero protocol uses a space-temporal orientation poster, a clock placed near the patient, and a checklist for caregivers to implement preventive measures. Participants are patients aged 65 and older undergoing hip fracture surgery who are accompanied by a literate, Spanish-speaking caregiver. The main outcome is onset of postoperative delirium, with standardized assessments performed during the hospital stay.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* The participants will be patients over 65 years old
* Admitted to the orthopedic hospitalization units of La Fe University and Polytechnic Hospital (La Fe Health Department, Valencia, Spain) and Manises Hospital (Manises Health Department, Spain).
* Who are undergoing surgery for hip fracture
* Accompanied by a family member/caregiver who understands Spanish and knows how to read and write it.

Exclusion Criteria:

\- Delirium at the time of admission to the trauma guard (assessed with the CAM scale).

Have previously been diagnosed with severe cognitive impairment according to the Pfeiffer scale, which corresponds to a score of 8-10 points.

* Have previously been diagnosed with any serious mental disorder (schizophrenic disorders, schizotypal disorders, persistent delusional disorders, substance-induced delusional disorders, schizoaffective disorders, other non-organic psychotic disorders, bipolar disorder, serious depressive episode with psychotic symptoms, and severe recurrent depressive disorders). - that they have delirium at the time of admission to the trauma room.
* That they have a language barrier, deep aphasia, coma, or terminal illness.
* That they have been previously enrolled in this study.
* That before the surgery they were admitted to a different hospital unit than those participating in the study, although they may then be transferred to one of these trauma units.
* That they present brain alterations (tumors, occupying lesions).

Where it's running

• Hospital Universitario y Politécnico La Fe
  Valencia, Valencia, Spain Recruiting
• Hospital Manises
  Manises, Valencia, Spain Not yet recruiting

Study contacts

• Study coordinator: Laura García Garcés Principal Investigator., PhD
• Email: laura.garcia19@uchceu.es
• Phone: (+34) 961369000

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Personalized iPad audio messages to reduce confusion after hip fracture surgery

  This trial will try 2-minute personalized audio reorientation messages on an iPad to see if they help prevent confusion (delirium) in people aged 60 and over after hip fracture surgery.

  Recruiting Sengkang General Hospital · Singapore · NCT07396532

• How Bleeding Affects Delirium in Older Adults After Hip Fracture

  This trial tests whether early detection of bleeding and prompt blood transfusions can lower delirium risk in people 75 and older with hip fractures.

  Recruiting University of Aarhus · Aarhus, Central Jutland and 1 other locations · NCT06938789

• Impact of Fast-Track Anesthesia on Postoperative Delirium After Cardiac Surgery

  This observational study tests whether fast-track anesthesia, compared with conventional care, is linked to lower rates of delirium after elective cardiac surgery in adults.

  Recruiting Second Affiliated Hospital of Nanchang University · Nanchang, Jiangxi · NCT07923344

• Remimazolam vs. Propofol for Sedation After Cardiac Surgery in Older Adults

  This trial tests whether remimazolam tosylate can lower the rate of postoperative delirium compared with propofol in patients 65 and older after cardiac surgery with bypass.

  Recruiting Nanjing First Hospital, Nanjing Medical University · Nanjing, Jiangsu · NCT07908121

• Dexmedetomidine to See if Delirium Drops After Hip Fracture Surgery

  This observational study tests whether using dexmedetomidine around hip fracture surgery helps prevent postoperative delirium in adults 65 and older.

  Recruiting Aarhus University Hospital · Aarhus · NCT07867899

• Total Intravenous Versus Inhalational Anesthesia in Hip Fracture Surgery

  This study compares TIVA with sevoflurane anesthesia in people 65 and older undergoing hip fracture surgery to see which method helps them recover better after surgery.

  Recruiting Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital · Istanbul, Istanbul · NCT07860996

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.