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Donepezil in Preventing Delirium in Hospitalized Elderly

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00182884
Recruitment Status : Completed
First Posted : September 16, 2005
Last Update Posted : March 3, 2008
Information provided by:
National Institute on Aging (NIA)

Brief Summary:
The purpose of this study is to explore the efficacy of a perioperative daily dose of Donepezil (a cholinergic enhancer) in reducing the incidence and severity of delirium.

Condition or disease Intervention/treatment Phase
Postoperative Complications Delirium Drug: Donepezil Phase 4

Detailed Description:

Delirium is confusion or a sudden change in alertness which may happen after hip repair surgery. Up to 65% of elderly undergoing surgical repair of hip fracture experience post-operative delirium. These individuals often stay in the hospital longer, have more complications, and are more likely to die. Early studies suggest that delirium could be prevented by correcting the central cholinergic deficit that is associated with delirium. Donepezil is currently being used to treat memory loss in patients with Alzheimer's disease.

This study will recruit 30 adults aged 65 or older who are undergoing hip fracture surgery. Participants will be randomized to receive either Donepezil or a matching placebo within 24 hours prior to surgery and for 4 days after the surgery.

All material to be collected will be from interviews, questionnaires, and medical chart review at baseline and daily for the entire hospital stay. The Confusion Assessment Method (CAM) and Memorial Delirium Assessment Scale (MDAS) will be used to evaluate the effect of Donepezil on delirium incidence and severity. Other assessments include cognitive deficit, length of hospitalization, discharge site, adverse effects, and psychotropic medications.

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Study Type : Interventional  (Clinical Trial)
Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double
Primary Purpose: Prevention
Official Title: Preventing Delirium in Hospitalized Elderly
Study Start Date : July 2004
Actual Primary Completion Date : April 2007
Actual Study Completion Date : April 2007

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Delirium

Primary Outcome Measures :
  1. Postoperative cumulative incident cases of delirium, as defined by the Confusion Assessment Method (CAM) administered at baseline prior to surgery and daily until discharge
  2. delirium severity as measured by the Memorial Delirium Assessment Scale (MDAS)

Secondary Outcome Measures :
  1. Cognitive status as measured by the Mini Mental Status Exam (MMSE)
  2. behavioral status using the Rating Scale for Aggressive Behavior in the Elderly (RAGE)
  3. length of stay in hospital postoperatively
  4. discharge site
  5. adverse effects
  6. use of psychotropic medications

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Community-dwelling individuals aged 65 or older
  • Admitted to Methodist Hospital for surgical repair of hip fracture
  • No evidence of delirium at admission to hospital
  • MMSE total score below 24 points after adjustment for education and age
  • Consent to participate in the study

Exclusion Criteria:

  • Severely demented as defined by MMSE score below 10
  • Metastatic cancer or other comorbid illnesses likely to reduce life expectancy to under 6 months
  • Multiple trauma or pathological fractures
  • Aphasic, legally blind, or deaf
  • Use of Donepezil or other cholinesterase inhibitors within one month prior to surgery
  • Allergy to Donepezil

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00182884

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United States, Indiana
Methodist Hospital, Clarian Health Partners
Indianapolis, Indiana, United States, 46202
Sponsors and Collaborators
Indiana University Health
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Principal Investigator: Malaz Boustani, MD, MPH Regenstrief Institute, Indiana University Center for Aging Research

Layout table for additonal information Identifier: NCT00182884    
Other Study ID Numbers: IA0079
First Posted: September 16, 2005    Key Record Dates
Last Update Posted: March 3, 2008
Last Verified: February 2008
Keywords provided by National Institute on Aging (NIA):
Hospital acquired complications
adverse effects
Cognitive Impairment
Additional relevant MeSH terms:
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Postoperative Complications
Neurobehavioral Manifestations
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Neurocognitive Disorders
Mental Disorders
Pathologic Processes
Cholinesterase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Cholinergic Agents
Neurotransmitter Agents
Physiological Effects of Drugs
Nootropic Agents