Hydration and Outcome in Older Patients (HOOP)

Dehydration is recognised as a major issue in healthcare. Recovery after illness, extended length of stay, pressure sores and slow tissue recovery can all be impacted by dehydration. One of the biggest problems for many people with regard to getting a drink is easy, independent access - if they can't reach the jug/cup without a struggle then they often will go thirsty and potentially become dehydrated.

The purpose of this study is to investigate the impact of dehydration on outcome in patients 65 years and over. Furthermore we aim to assess the impact of providing easy, 24 hour, independently accessible fluids on reducing dehydration as well as improving patient experience.

We hypothesise that patients who are dehydration will take longer to recover from illness and stay in hospital for longer periods.

Study Overview

• Status: Completed
• Conditions: Dehydration
• Intervention / Treatment: Device: The Hydrant

• Study Type: Observational
• Enrollment (Actual): 200

Contacts and Locations

Study Locations

• United Kingdom
  • Nottinghamshire
    • Nottingham, Nottinghamshire, United Kingdom, NG7 2UH
      • Queens Medical Centre

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 65 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

All patients admitted acutely to medical wards who are aged 65 years and over.

Description

Inclusion Criteria:

1. - All patients of 65 years and over that are admitted acutely to medical wards
2. - Ward staff who have been working in the clinical area for the duration of the trial (The Hydrant part of the study).

Exclusion Criteria:

1. - Patients who are moribund
2. - Patients who are doubly incontinent
3. - Patients on the end of life pathway
4. - Patients with terminal illness with a known life expectancy less than 3 months

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Patients aged 65 years and over; All patients aged 65 years and over admitted to acutely to medical wards	Device: The Hydrant; The Hydrant is a new form of "drinking system" that may be used to provide continuous access to hydration will be given to 20 patients. 10 of the patients will have mild cognitive impairment with Mini Mental State Examination less than 24 and 10 with normal cognitive function. Patients and staff will be interviewed to assess the feasibility of the hydrant.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Serum Osmolality	At admission and 48hrs post admission to hospital

Collaborators and Investigators

• Sponsor: University of Nottingham
• Investigators: Principal Investigator: Dileep N Lobo, MD, FRCS, University of Nottingham

Study record dates

Study Major Dates

• Study Start: August 1, 2012
• Primary Completion (Actual): April 1, 2014
• Study Completion (Actual): May 1, 2014

Study Registration Dates

• First Submitted: October 5, 2012
• First Submitted That Met QC Criteria: October 5, 2012
• First Posted (Estimate): October 10, 2012

Study Record Updates

• Last Update Posted (Estimate): July 15, 2014
• Last Update Submitted That Met QC Criteria: July 14, 2014
• Last Verified: July 1, 2014

More Information

Terms related to this study

• Keywords: Hydration; Elderly patients; Age 65 years and over; Admitted acutely to medical admissions ward
• Additional Relevant MeSH Terms: Pathologic Processes; Metabolic Diseases; Water-Electrolyte Imbalance; Dehydration
• Other Study ID Numbers: 12029