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Single-bed rooms in a geriatric ward prevent delirium in older patients

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Abstract

Background

Few studies have investigated treatment environment risk factors for delirium in geriatric patients. In March 2017, a geriatric department was moved from old hospital buildings with multiple-bed rooms (old wards) to a new hospital with single-bed rooms (new wards), with no changes regarding uptake area, staff and admission criteria.

Aims

The aim of this study was to investigate the risk of delirium among patients in single-bed rooms compared with multiple-bed rooms.

Methods

An observational prospective study included patients aged ≥ 75 years admitted between 15 September 2016 and 19 March 2017 to the old wards and between 20 March and 19 December 2017 to the new wards. Exclusion criteria were terminal illness, somnolence at admission and inability to communicate in Danish. Delirium was assessed by trained nurses, nurse assistants, occupational therapists and physiotherapists every morning and evening using the Confusion Assessment Method (CAM).

Results

We included 1014 patients. Patients’ characteristics were similar between patients admitted to the old wards and to the new wards. Delirium was present at admission in 105 patients, with no significant difference between the old and new wards. Patients in the new wards had a significantly reduced incidence of delirium during hospital stay compared with patients in the old wards; hazard ratio 0.66 (95% CI 0.48–0.93, p < 0.02). No difference between the old and the new wards was observed in the duration of the first delirium episode.

Conclusion

We found evidence that the risk of delirium is reduced in single-bed rooms compared with multiple-bed rooms in geriatric wards.

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Acknowledgements

The cost of data collection, analysis, and preparation of the manuscript was covered by the Department of Geriatrics, Aarhus University Hospital.

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Correspondence to Sif Blandfort.

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On behalf of all authors, the corresponding author states that there is no conflict of interest.

Statement of human and animal rights

It was a quality development project with no intervention, the study was exempted from notification to the Central Denmark Region Ethical Committee (Inquiry number 200/2017). The study protocol was approved by the Danish Data Protection Agency, case no. 1-16-02-254-16. The study was registered at ClinicalTrials.gov (Identifier NCT03199768).

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Blandfort, S., Gregersen, M., Rahbek, K. et al. Single-bed rooms in a geriatric ward prevent delirium in older patients. Aging Clin Exp Res 32, 141–147 (2020). https://doi.org/10.1007/s40520-019-01173-y

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  • DOI: https://doi.org/10.1007/s40520-019-01173-y

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