Effectiveness of combined a cognitive training exercise with non-pharmacologic interventions to prevent and reduce severity of delirium in critically ill surgical patients
- Conditions
- Critically ill surgical patientscognitive training exercises, non-pharmacological, older, surgical patient, intensive care unit
Recruitment & Eligibility
- Status
- Pending (Not yet recruiting)
- Sex
- All
- Target Recruitment
- 164
1. Age of 65 years old or more
2.Patients undergoing surgery: general, cardiovascular and thoracic, vascular, urological, head and neck, orthopedic, gynecologic and obstetric
3. Anticipated LOS in SICU of more than 24 hours
4. A Richmond Agitation-Sedation Scale (RASS) score from -2 to +1
5. Hemodynamic stable: Systolic blood pressure (SBP) 90 to 180 mmHg, heart rate (HR) 60 to120 beats/min, the dose of norepinephrine less than 0.1 mcg/kg/min, and dopamine/dobutamine less than 5 mcg/kg/min
6. Respiratory system stability: positive end-expiratory pressure (PEEP) less than 10 cmH2O, and SpO2 more than 95%
1. Patients who cannot communicate in the Thai language
2. Serious receptive aphasia or severe visual or auditory impairment that precludes communication
3. Severe cognitive impairment or who have a MOCA score of less than 10
4. Severe mental disability
5. Patients who have delirium on admission
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method feasibility of using Thai cognitive training exercises After 7 consecutive days in the ICU and Ward or untill hospital discharge Practicability and burden scores,incidence of delirium Daily assessment of delirium after SICU admission or until hospital discharge or death CAM-ICU and Nu-DESC test
- Secondary Outcome Measures
Name Time Method duration of delirium Daily assessment of delirium after SICU admission or until hospital discharge or death CAM-ICU and Nu-DESC test,incidence of POCD Preoperative assessment and postoperative day 5 MOCA test,quality of life at hospital discharges EQ-5D-5