Quality of care in hospitalized cancer patients before and after implementation of a systematic prevention program for delirium: the DELTA exploratory trial

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Asao OgawaChie Asanuma

Abstract

We evaluated whether the DELirium Team Approach (DELTA) program-a systematic management program aimed at screening high-risk groups and preventing delirium-would improve quality of care in patients hospitalized with cancer. A retrospective before-after study was conducted during a pre-intervention period (between October 2012 and March 2013) and a post-intervention period (between October 2013 and March 2014) at a Japanese hospital providing specialized treatments for cancer. A total of 4180 inpatients were evaluated before the implementation of the DELTA program and 3797 inpatients were evaluated after implementation. After program implementation, the incidence of delirium decreased from 7.1 to 4.3% (odds ratio [OR], 0.52; 95% CI, 0.42-0.64). The incidence of adverse events, including falls or self-extubation, also decreased, from 3.5 to 2.6% (OR, 0.71; 95% CI, 0.54-0.92). There was a significant decrease in the prescription of benzodiazepines (OR, 0.79; 95% CI, 0.71-0.87), increase in the level of independence in activities of daily living at discharge (OR, 1.94; 95% CI, 1.11-3.38), and decrease in the length of stay (risk ratio 0.90; 95% CI, 0.90-0.90). The systematic management program for delirium decreased the incidence o...Continue Reading

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Citations

Jan 25, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Jae Hyun LeeHee-Won Jung
May 22, 2021·Journal of Doctoral Nursing Practice·Christyn A Gaa, Bimbola F Akintade
Aug 22, 2021·The Journal of Thoracic and Cardiovascular Surgery·Kevin P Landolfo, Sean P Kiley
Aug 22, 2021·The Journal of Thoracic and Cardiovascular Surgery·Kiichi EnomotoHomare Okamura
Aug 22, 2021·Aging Clinical and Experimental Research·Shooka EsmaeeliSadeq A Quraishi
Jan 16, 2022·European Geriatric Medicine·Megan B SandsJanette L Vardy
Feb 1, 2022·Journal of Palliative Medicine·Tatsuto TeradaHiromichi Matsuoka

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