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Preventive effect of ramelteon on delirium in IC

Phase 3
Recruiting
Conditions
Patients who need ICU management.
intensive care
D007362
Registration Number
JPRN-jRCTs041200112
Lead Sponsor
umaguchi Atushi
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
220
Inclusion Criteria

1) ICU patients 18 years old or more, expected to stay in ICU for over 48 hours.
2) Patients registered within 48hours of ICU admission and administrated first medication on the registration day.

Exclusion Criteria

1) Patients under 18 years old.
2) Allergy to ramelteon.
3) Patients with severe liver injury (T-Bil >= 10 mg/dL, or ALT >= 750 IU/L).
4) Patients receiving fluvoxamine maleate.
5) Patients already receiving ramelteon therapy before admission.
6) Patients expected to leave ICU within 48 hours of admission.
7) Patients expected to die within 48 hours of admission or be excluded from active treatment.
8) Pregnant or lactating women.
9) Patients expected to be difficult to evaluate delirium by CAM-ICU due to neurological problems such as post-cardiac arreest, head trauma, stroke, or other illness.
10) Absence of written informed consent.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Occurrence of ICU-delirium
Secondary Outcome Measures
NameTimeMethod
ength of delirium, severity and need for treatment of delirium, length and quality of sleep, length of ICU and hospital stay, 28- and in-hospital mortality, ventilator free days (number of days without ventilator use from day 1 to day 28), dose of sedative drugs.
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