An interventional study of experimental group in Delirium in Old Age and Hip Fractures, sponsored by Chang Gung Memorial Hospital. Not yet recruiting. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2024-01-19.
Sponsored by Chang Gung Memorial Hospital · Not applicable, Interventional, and Prevention
The aim of this trial is to explore the efficacy of music in preventing delirium in elderly patients with hip fracture.
The main aims of this research are:
This study is a two-group, pre and post-test, randomized controlled trial to test the effectiveness of the ''listening music protocol''. Convenience sampling will be used to select the inpatients with hip fractures in a regional hospital in southern Taiwan. 102 participants will be randomly assigned either to an experimental (n=51) or to a control (n=51) group. The experimental group will receive a six-day music protocol and regular post-operative care. The control group will receive regular post-operative care only. Statistical analysis was performed using SPSS Version 22.0.
Descriptive statistics, including frequencies, percentages, means, and medians, were used to analyze basic attributes. For the analysis of homogeneity, the chi-square test or Fisher's exact test was employed for categorical variables. The paired t-test was used to compare respiratory rate, pulse rate, blood pressure, and pain index.
Following the intervention, the occurrence and severity of delirium before and after implementing music intervention were compared. Additionally, comparisons were made for opioid analgesic usage, postoperative complications, length of hospital stay, and 30-day mortality.
1,057 studies on the registry are indexed under Delirium; 238 are open to participants now.
This study's planned enrollment of 102 is below the median of 120 across 599 interventional studies indexed under Delirium.
Browse Delirium studies →Chang Gung Memorial Hospital is the lead sponsor of 1,064 studies on the registry; 235 are open to participants now.
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Exclusion Criteria:
The music intervention consists of two parts. The first part occurs during the surgical procedure, starting from the induction of anesthesia and continuing until the surgery over. The second part spans from the first day post-surgery to the fifth day (or until discharge), with the patient listening to music twice a day, each session lasting for 30 minutes. The planned times for the music sessions are expected to be at 11 a.m. and 8 p.m. Each day post-surgery, the music intervention must be completed, and measurements of respiratory rate, pulse rate, blood pressure, and pain score should be taken both before and after listening to the music. Other are routine post-operative care.
Procedure: experimental group
Routine post-operative care.
The music intervention consists of two parts. The first part occurs during the surgical procedure, starting from the induction of anesthesia and continuing until the surgery over. The second part spans from the first day post-surgery to the fifth day (or until discharge), with the patient listening to music twice a day, each session lasting for 30 minutes. The planned times for the music sessions are expected to be at 11 a.m. and 8 p.m. Each day post-surgery, the music intervention must be completed, and measurements of respiratory rate, pulse rate, blood pressure, and pain score should be taken both before and after listening to the music. Other are routine post-operative care.
delirium event and severity
Delirium is diagnosed based on clinical symptoms, utilizing the Confusion Assessment Method (CAM) to assess. CAM consists of four elements that can be quickly completed in a hospital setting, making it a convenient diagnostic tool. The four components include abrupt onset, fluctuating course of symptoms, inattention, and disorganized thinking or altered level of consciousness.
Time frame: 7-14 days
opioid analgesic usage
Comparison of patients' opioid analgesic dosage and frequency during hospitalization.
Time frame: 7-14 days
postoperative complications
Comparison of surgical complications occurring during hospitalization or within one month post-discharge.
Time frame: 1 month
length of hospital stay
Comparison of patients' length of hospital stay during hospitalization.
Time frame: 7-14 days
readmission within 14 days postoperatively
Recording whether patients are readmitted within 14 days post-discharge due to surgical complications or delirium.
Time frame: 1 month
30-day mortality
Recording whether patients die within 30 days post-discharge due to surgical complications or delirium issues.
Time frame: 1 month
No study locations are listed for this record.
Plan to share: No
This study is not yet recruiting, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.
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Chang Gung Memorial Hospital