A prospective observational study on the incidence of delirium among the patients in intensive care unit.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 220
- 试验地点
- 1
- 主要终点
- Incidence of delirium
研究概览
简要总结
The patients who qualify as perthe selection criteria will be given a clear explanation in their vernacularlanguage. A written consent will be obtained in each case.
The following information will be collected uponadmission: sex, date of admission, category of admission, diagnosis,description of previous and current use of sedatives or antipsychotic drugs,other medication used, Acute Physiological and Chronic Health Evaluation II(APACHE II) score, presence of invasive procedures, monitoring data, and typeof organ support.
Patients eligible for the study will beevaluated to detect delirium using the Confusion Assessment Method (CAM)‑ICUdaily.
CAM-ICU method will be done by the principalinvestigator and will record the scores till the patient gets discharged.Thediagnosis of the delirium will be done by the physicians.
It is an instrument simple to use; the scorevaries from 1 to 7: level (1) refers to a patient who cannot respond to voiceor physical stimulation and (7) to a combative violent patient. Every patientwill be daily evaluated until his/her RASS score is ≥4, so he/she can beassessed for delirium using the CAM‑ICU.
THE FOLLOWING PARAMETERSWILL BE COLLECTED
1.HEART RATE
2.BLOOD PRESSURE
3.SPO2
4.RESPIRATORY RATE
5.HB
6.HCT
7.TC
8.DC
9.PLATELET
10.LFT
11.RFT
12.INR
13.BUN/CREATININE
14.UREA
15.SODIUM
16.POTASSIUM
17.1MAGNESIUM
18.CALCIUM
19.APACHE II
20.CAM-ICU SCORE
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •â€¢Patients in age group above 18 years •Patients who had Richmond agitation and sedation scale (RASS) score between -2 and +4.
排除标准
- •â€¢Patients who had been treated with antipsychotic drugs within the previous 10 days •Patients who had history of dementia •Patients who were suffering from acute alcohol withdrawal syndrome, •Patients who had delirium or serious auditory or visual disorders before ICU admission •Patients who were unable to understand the Tamil or English languages •Patients were severely mentally disabled, suffered from a terminal illness, •Patients of age group < 18 years.
结局指标
主要结局
Incidence of delirium
时间窗: Incidence of delirium from 48 hours after admission in ICU till discharge from ICU
次要结局
- Risk factors associated with delirium(validation of CAM ICU score)