The Efficacy of Music in Preventing Delirium in Elderly Patients With Hip Fracture

Launched by CHANG GUNG MEMORIAL HOSPITAL · Jan 8, 2024

Keywords

ClinConnect Summary

This clinical trial is studying whether listening to music can help prevent delirium, which is a sudden change in mental status, in elderly patients who have suffered a hip fracture. Delirium can lead to confusion and is particularly concerning for older adults after surgery. The researchers will compare patients who listen to music with those who do not, looking at various health measures like heart rate, blood pressure, pain levels, and the overall occurrence of delirium. They hope to see if listening to music can make patients feel better and recover more quickly.

To be eligible for this study, participants need to be at least 65 years old and have a specific type of hip fracture that requires surgery. They also need to be able to understand and agree to participate in the trial. Unfortunately, those with certain conditions like severe hearing impairment, dementia, or who are taking certain medications cannot join. If someone is part of the trial, they can expect to listen to music while they recover, and researchers will monitor their health closely to see how effective the music is in preventing delirium.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adults aged 65 years and above (inclusive).
• • Individuals with clear consciousness and willingness to participate in this study.
• • The primary treating physician of the participant must be the principal investigator or co-principal investigator of this study.
• • Diagnosis of femoral head fracture, femoral neck fracture, or intertrochanteric fracture.
• • Surgical procedures include hip hemiarthroplasty, total hip arthroplasty, cannulated screw fixation, dynamic hip screw, femoral neck system, and gamma-nail.
• Exclusion Criteria:
• • Bilateral hip fractures simultaneously.
• • History of neurosurgery.
• • Preoperative delirium.
• • Severe hearing impairment (unable to engage in oral conversation).
• • Use of sedatives or antidepressant medications.
• • Dementia or psychiatric disorders.
• • Patient unwilling to participate in the study or cooperate with listening to music (using headphones).
• • Use of unknown medications and alcohol.
• • After taking antihypertensive medication, preoperative systolic blood pressure \>200 mmHg or diastolic blood pressure \>110 mmHg.
• • Preoperative heart rate \>130 beats per minute or \<50 beats per minute.