A nurse lead intervention to reduce delirium among adults admitted to intensive care: a randomised multi-centre step-wedged study.
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 发起方
- 入组人数
- 2,618
研究概览
简要总结
Delirium is an acute change in behaviour characterised by a fluctuating level of consciousness with impaired attention and cognition. For critically ill adults the incidence of delirium is approximately 30%. The objective of this study is to determine the effectiveness of a nurse-led delirium-prevention protocol in reducing the incidence, severity, and duration of delirium among adults admitted to intensive care. Between May 2019 and February 2021, 2,618 admissions, among 2,566 patients were included in the study. Following the introduction of a nurse-led, non-pharmacological bundle of care to prevent delirium, among adults admitted to intensive care, we observed no significant decrease in the incidence of delirium, or the duration of delirium.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomised controlled trial
- 主要目的
- Prevention
- 盲法
- Open (masking not used)
入排标准
- 年龄范围
- 18 Years 至 o limit(—)
- 性别
- All
入选标准
- •All adults aged 18 years or more admitted to the intensive care during the study period.
排除标准
- •(1) patients at the end-of-life, and not expected to survive 24 hours; (2) patients not expected to stay in the ICU for at least 24 hours; (3) patients with acute or chronic neurological conditions that prevented assessment of delirium (traumatic brain injury, intra-cerebral hemorrhage, ischaemic stroke, CNS infection, hypoxic brain injury, hepatic encephalopathy, severe mental disability, serious receptive aphasia, dementia).
