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MDD(Mild Cognitive Impairment Delirium Dementia) Cohort

28 juli 2022 uppdaterad av: Kyoung ja Moon, Keimyung University Dongsan Medical Center

A Prospective, Longitudinal Cohort Study of the Incidence of Dementia After the Onset of Delirium in Patients With Mild Cognitive Impairment: MDD Cohort (Mild Cognitive Impairment Delirium Dementia)

  • Identify the degree of delirium in subjects with mild cognitive impairment and find the risk factors of delirium. Mortality, hospital stay, and medical expenses are analyzed as clinical consequences related to delirium incidence.
  • Dementia conversion rate and conversion period of subjects with mild cognitive impairment with delirium and it identifies the effect of delirium on dementia conversion.
  • Develop an AI(Artificial intelligence) algorithm for predicting dementia transition in subjects with mild cognitive impairment based on the research results of the 1st, 2nd, and 3rd years.

Studieöversikt

Status

Rekrytering

Betingelser

Intervention / Behandling

Studietyp

Observationell

Inskrivning (Förväntat)

163

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studera Kontakt Backup

Studieorter

  • Korea, Republiken av
    • Gyeongsangnam-do,
      • Daegu, Gyeongsangnam-do,, Korea, Republiken av, 50572
        • Rekrytering
        • Yangsan Seoul long-term care (LTC) facilities
        • Kontakt:
    • Jeollabuk-do
      • Daegu, Jeollabuk-do, Korea, Republiken av, 54078
        • Har inte rekryterat ännu
        • Gunsan Chamsarang long-term care (LTC) facilities
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

65 år och äldre (Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Testmetod

Sannolikhetsprov

Studera befolkning

Patients admitted to 3 long-term care (LTC) facilities

Beskrivning

Inclusion Criteria:

  • Patients 65 years of age or older who are admitted to a LTC
  • Patients diagnosed with mild cognitive impairment by doctors
  • Patients with a score of 18 or more and 23 or less on the Mini-Mental State Examination

Exclusion Criteria:

  • Patients unable to measure the delirium assessment tool, The Short Confusion Assessment Methods (S-CAM) (Inouye, 2014) due to severe vision and hearing problems
  • Patients with serious psychiatric or neurological diagnosis,Patients who expire or were transferred on the day of admission -
  • Patients receiving emergency treatment at the time of the delirium assessment or unable to measure or intervene with S-CAM due to hospital circumstances

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
MCI(Mild Cognitive Impairment) group
  • Inclusion criteria : Patients 65 years of age or older who are admitted to a LTC(long-term care) facilities, Patients diagnosed with mild cognitive impairment by doctors, Patients with a score of 18 or more and 23 or less on the Mini-Mental State Examination
  • Exclusion criteria : Patients unable to measure the delirium assessment tool, The Short Confusion Assessment Methods (S-CAM) (Inouye, 2014) due to severe vision and hearing problems, Patients with serious psychiatric or neurological diagnosis,Patients who died or were transferred on the day of admission, Patients receiving emergency treatment at the time of the delirium assessment or unable to measure or intervene with S-CAM due to hospital circumstances
Diagnostiskt test: Delirium assessment using S-CAM
Twice a day, the rounds of nurses in shifts, 8:00 am - 10:00 am, 4:00 pm - 6:00 pm Trained research assistants assessed delirium using S-CAM

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Delirium incidence in participants with mild cognitive impairment
Tidsram: The number of subjects evaluated as positive in the delirium assessment using S-CAM for 30 days from the 1st day of study participation is statistically calculated.
descriptive statistics
The number of subjects evaluated as positive in the delirium assessment using S-CAM for 30 days from the 1st day of study participation is statistically calculated.
Dementia conversion rate and transition period in participants with mild cognitive impairment
Tidsram: The participant's dementia conversion is checked in units of 1 month, and the period until conversion to dementia is analyzed in units of 12 months for 36 months.
descriptive statistics
The participant's dementia conversion is checked in units of 1 month, and the period until conversion to dementia is analyzed in units of 12 months for 36 months.

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Risk factors affecting participants' delirium
Tidsram: On the first day of data collection, the characteristics of subjects are collected through medical records. After 12 months, the risk factors affecting the occurrence of delirium among the characteristics of the subject are analyzed.
Logistic Regression
On the first day of data collection, the characteristics of subjects are collected through medical records. After 12 months, the risk factors affecting the occurrence of delirium among the characteristics of the subject are analyzed.
Mortality
Tidsram: It is statistically calculated in 30-day, 60-day, 12-month, 24-month, and 36-month increments.
Kaplan-Meier survival, Cox proportional hazard regression, Logistic Regression
It is statistically calculated in 30-day, 60-day, 12-month, 24-month, and 36-month increments.
hospital length of stay
Tidsram: The period from hospitalization to discharge is calculated in days and analyzed in units of 12 months.
Linear Regression
The period from hospitalization to discharge is calculated in days and analyzed in units of 12 months.
healthcare costs
Tidsram: From the healthcare costs consumed during the hospital length of stay, the direct healthcare costs used only for treatment are calculated in won units and analyzed in units of 12 months.
Linear Regression
From the healthcare costs consumed during the hospital length of stay, the direct healthcare costs used only for treatment are calculated in won units and analyzed in units of 12 months.

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Keimyung University Dongsan Medical Center

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 juli 2021

Primärt slutförande (Förväntat)

31 oktober 2022

Avslutad studie (Förväntat)

31 december 2025

Studieregistreringsdatum

Först inskickad

17 oktober 2021

Först inskickad som uppfyllde QC-kriterierna

28 oktober 2021

Första postat (Faktisk)

9 november 2021

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

1 augusti 2022

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

28 juli 2022

Senast verifierad

1 juli 2022

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • 2019R1I1A3A0106056112

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