Evaluation of a nurse mentoring intervention to family caregivers in the management of delirium after cardiac surgery (MENTOR_D)

Not Applicable

Completed

• Conditions: Post cardiac surgery delirium; Mental and Behavioural Disorders; Postoperative delirium

• Registration Number: ISRCTN95736036
• Lead Sponsor: Montreal Heart Institute Research Center (Canada)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2013-03-27
• Last Update Posted: 17 October 2016

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

Current inclusion criteria as of 24/06/2015:
For patients and caregivers:
1. Be 18 years of age or older
2. Speak and read French
3. Present physical and cognitive abilities (before surgery) to agree to participate in the study

For patients:
1. Have delirium following a surgical procedure of coronary artery bypass graft (CABG), heart valve plasty or replacement. Delirium is defined by a score of 4 or higher on the Intensive Care Delirium Screening Checklist (ICDSC-Bergeron, et al., 2001) and confirmed by a medical diagnosis

For caregivers:
1. Identify oneself as the caregiver to the patient who will undergo surgery
2. Be available to go to the bedside twice daily for three consecutive days after the detection of delirium

Previous inclusion criteria from 12/06/2014 to 24/06/2015:
For patients and caregivers:
1. Be 18 years of age or older
2. Speak and read French
3. Present physical and cognitive abilities (before surgery) to agree to participate in the study

For patients:
1. Have had a surgical procedure of coronary artery bypass graft (CABG), heart valve plasty or replacement
2. Planning to spend the full length of the postoperative stay in the research center (patients from a referring center will not be eligible as their length of stay in the research environment is shorter than the time required for this protocol, even in the presence of delirium)
3. Present postoperative delirium defined by a score of 4 or higher on the Intensive Care Delirium Screening Checklist (ICDSC-Bergeron, et al., 2001) and confirmed by a medical diagnosis

For caregivers:
1. Identify oneself as the caregiver to the patient who will undergo surgery
2. Be available to go to the bedside twice daily for three consecutive days after the detection of delirium

Original inclusion criteria until 12/06/2014:
For patients and caregivers:
1. Be 18 years of age or older
2. Speak and read French
3. Present physical and cognitive abilities (before surgery) to agree to participate in the study

For patients:
1. Have had a surgical procedure of coronary artery bypass graft (CABG), heart valve plasty or replacement
2. Planning to spend the full length of the postoperative stay in the research center
(patients from a referring center will not be eligible as their length of stay in the research environment is shorter than the time required for this protocol, even in the presence of delirium)
3. Present a high risk of delirium before surgery according to the presence of at least three risk factors identified in systematic reviews: age = 65 years; history of delirium; active smoker; take three or more alcoholic drinks per day; have a cognitive impairment (prior dementia, prior cognitive decline) or a sensory impairment (hearing)
4. Present delirium after cardiac surgery defined by a score of 4 or higher on the Intensive Care Delirium Screening Checklist (ICDSC-Bergeron, et al., 2001), used each shift in usual care, and confirmed by diagnosis.

For caregivers:
1. Be identified in the first study information meeting as the caregiver the patient who will undergo surgery
2. Be available to go to the bedside twice daily for three consecutive days after the detection of delirium

Exclusion Criteria

Current exclusion criteria as of 12/06/2014:
For patients:
1. Expressing a refusal to participate in the study after delirium
2. Be referred to the palliative care team due to severe post-operative complications

Previous exclusion criteria:
For patients:
1. Undergo an emergency cardiac surgery that prevents obtaining informed consent before the procedure

Study & Design

• Study Type: Interventional
• Study Design: Not specified