Preventing Delirium After Hip Fracture Surgery Using the Delirium Zero Protocol in Patients Over 65

What this Trial Is About

This research aims to study whether care provided by family members or caregivers can help prevent delirium in patients over 65 years old who undergo surgery for hip fracture. The study is a randomized, single-blind, parallel clinical trial conducted in two hospitals in Spain where patients are admitted to trauma units and accompanied by a family member or caregiver. The trial compares two groups one receiving the Delirium Zero protocol and the other receiving standard care. Participants in the intervention group will experience the Delirium Zero protocol, which includes a patient orientation poster updated daily by the caregiver, a clock placed next to the poster, and a daily checklist that caregivers complete to verify preventive measures taken. Nurses collect these checklists daily until the patient is discharged. The control group receives usual care for delirium prevention, which includes information and guidance provided to patients and families. Both groups are monitored from admission until discharge or up to six weeks. During the study, participants are closely observed for the occurrence, severity, duration, and number of delirium episodes. The research team also assesses how well caregivers follow the Delirium Zero protocol. Evaluations occur from admission until hospital discharge or six weeks, whichever comes first. The total participation time varies depending on the patients hospital stay, with daily assessments by nurses and family involvement in the intervention group.

Effectiveness of the Delirium Zero Protocol to Prevent the Onset of Delirium in Patients Undergoing Hip Fracture Surgery