Delirium and Neuropsychological Recovery Among Emergency General Surgery Survivors (DANE)
University of Wisconsin, Madison
Summary
This study will evaluate the usefulness of the Urgent and Emergency Surgery (UES) Delirium Recovery Model. It is hypothesized that the cognitive, physical and psychological recovery of older UES delirium survivors will be improved through the use of the DANE Recovery Model. Participants can expect to be on the study for 18 months.
Description
This is a multi-site, two-arm, single-blinded randomized controlled clinical trial to evaluate the efficacy of the DANE Recovery Model to improve the cognitive, physical and psychological recovery of older UES delirium survivors. At or near the time of discharge, enrolled participants will be randomized to receive the DANE Recovery Model or usual care. The hypothesis is that, after 18 months, older UES delirium survivors who are randomized to the DANE Recovery Model will experience more favorable cognitive, physical and psychological recovery in comparison to those randomized to usual care.
Eligibility
- Age range
- 65+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Adult age 65 years and older * Admitted to one of the participating hospitals * Undergone an abdominal orthopedic, skin, or vascular surgery in an emergency or unplanned fashion * English-speaking * Able to provide consent or have a legally authorized representative to provide consent * Access to a telephone or an internet connected computer or smart device * Discharged to home or sub-acute rehabilitation * At least one episode of delirium or subsyndromal delirium, i.e. screen positive on at least one out of the four items on the Confusion Assessment Method-ICU (CAM-ICU)…
Interventions
- OtherDANE Recovery Program
Virtual visits with care coordinator to carry out an individualized recovery plan
- OtherQuestionnaires
Physical, cognitive, and psychological assessments
Locations (6)
- SwedishAmerican HospitalRockford, Illinois
- Indiana UniversityIndianapolis, Indiana
- University of WisconsinMadison, Wisconsin
- Meriter HospitalMadison, Wisconsin
- East Madison HospitalMadison, Wisconsin
- Medical College of WisconsinMilwaukee, Wisconsin