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Recruitment of volunteers to improve vitality in the elderly: the REVIVE study

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Abstract:

Abstract Background:

Delirium is a common problem for frail, older patients in hospital and a marker of poor outcome and mortality. The aim of this study was to test a volunteer-mediated delirium prevention programme for efficacy, cost-effectiveness and sustainability on an Australian geriatric ward. Methods:

Two controlled before-and-after studies were conducted. In study 1, 37 patients (>70 years, admitted to the geriatric wards) were enrolled during 5 months in 2003 for intensive individual study. Twenty-one patients received usual care and 16 patients received the volunteer-mediated intervention of daily orientation, therapeutic activities, feeding and hydration assistance, vision and hearing protocols. In study 2, we examined the effects of a general implementation for the whole department by measuring use of assistants in nursing, who were employed for individual nursing of delirious patients. Results:

In study 1, we found a lower incidence (intervention vs control, 6.3% vs 38%; P = 0.032) and lower severity of delirium (1.2 vs 5.1; P = 0.045). There was a trend towards decreased duration of delirium (5.0 vs 12.5; P = 0.64). In study 2, use of assistants in nursing was reduced by 314 h per month suggesting a total annual saving of A$129 186 for the hospital. Conclusion:

The programme prevents delirium and improves outcomes for elderly inpatients. Cost-effectiveness supports the continuation of the programme and extension to other geriatric units.

Keywords: cost-effectiveness; delirium; geriatric; hospital volunteer; nurse aide

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1445-5994.2007.01265.x

Publication date: February 1, 2007

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