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Colegio de Medicina Interna de México.

2012, Number 5

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Med Int Mex 2012; 28 (5)

Implementation of a Delirium Prevention Program for Nuevo Hospital Durango (Mexicdo City)

Gutiérrez PRA, Páramo RF, Ocádiz CJ, Tovar SA, Gutiérrez SA

Language: Spanish
References: 32
Page: 427-433
PDF size: 229.70 Kb.


ABSTRACT

Background: Delirium is a poor recognized and common disease where early identification is of great importance due to its accompanying morbidities. The main objective of this study was to prove implementation of an educational program to health care professionals as an effective strategy to reduce delirium incidence and to help in early detection.
Material and methods: A preventive program was developed based on non-pharmacological measures and with support from patient relatives consisting in educational sessions, didactic material and questionnaires as well as specific strategies for all patients above 65 years old admitted to the hospital and within inclusion criteria.
Results: 189 patients were included in the study where just one developed delirium despite the non-pharmacological preventive measures. Two evaluations were made to physician and nursing personal before and after implementation of the program where an improvement in ability to identify disease was seen (initial 22% versus 94%; p=0.000). After a year of beginning implementation of the program the reduction in the incidence of delirium in the study group was statistically significant respect to previous incidence reported in the hospital (10% versus 0.5%; p= 0.0001)
Conclusions: Implementation of a delirium preventive program was feasible. As the satisfactory results in our study it is recommended to be considered for implementation in all hospitals in order to reduce incidence of delirium and its morbidities.


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