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- Title
Recruitment of volunteers to improve vitality in the elderly: the REVIVE.
- Authors
Caplan, G. A.; Harper, E. L.
- 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.
- Subjects
DELIRIUM in old age; VOLUNTEER workers in medical care; GERIATRIC health care teams; MEDICAL care costs; PSYCHIATRIC nurses; NURSES' aides; DELIRIUM; ACTIVITIES of daily living; PREVENTION; PATIENTS
- Publication
Internal Medicine Journal, 2007, Vol 37, Issue 2, p95
- ISSN
1444-0903
- Publication type
Article
- DOI
10.1111/j.1445-5994.2007.01265.x