Assessment of best scale for ICU confusion

Not yet recruiting

Conditions: Other symptoms and signs involvingthe circulatory and respiratory system,

Registration Number: CTRI/2022/01/039526

Lead Sponsor: Anushree Naik

Brief Summary: A study to assess the best predictive model for ICU delirium among the patients admitted in critical care units of a selected tertiary care hospital in Udupi district, South India. The purpose of the study is to compare the predictive performance of two delirium prediction models and to find out the best predictive model for ICU delirium. The findings of the study may help the nurses in screening of patients in ICU for the development of delirium so that timely treatment can be provided. Prior to data collection, Participant Information Sheet (PIS) will be given to all the participants and purpose of the study will be explained to them. Also informed consent will be taken. Data for each delirium predictor will be collected from consecutive patients, immediately after and within 24 hrs of admission to ICU by the researcher using E-PRE-DELIRIC and PRE-DELIRIC model respectively. The delirium will be evaluated once a day daily by the trained research nurse with prior experience in using delirium assessment scales till 7days or ICU discharge. The CAM-ICU will be used for bedside assessment of delirium and patients will be confirmed to have ICU delirium with at least one positive assessment of delirium using the CAM-ICU scale. To avoid false negative delirium screenings, patients who were administered haloperidol, dexmeditomidine or an atypical antipsychotic drug for delirium treatment anytime during their ICU stay while in the enrollment period will also be considered to have delirium.The patientâ€™s level of sedation using the Richmond Agitation-Sedation Scale and current intravenous sedative therapy will be documented at the tie each delirium assessment is completed. Delirium will be assessed when patients are maximally awake (RASS above -3). Patients in coma (i.e., RASS = -4 or -5) will be labelled as unable to be assessed for delirium. All patients enrolled in the study will be followed until 7 days or till ICU discharge (whichever is early).

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 460

Inclusion Criteria

All the consecutive critically ill adults patients aged above 18 years admitted to the ICU will be enrolled for the study.

Exclusion Criteria

Patients 1.who are delirious on admission.
2.staying in the ICU for less than 24 hours.
3.Who remains comatose for a sustained period of more than 7 days making it unreliable to assess delirium.
with pre existing psychiatric disorder or cognitive dysfunction.

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To find out the best predictive model for ICU delirium.	From the time of ICU admission till 7 days or till ICU discharge.

Secondary Outcome Measures

Name	Time	Method
Assess the adverse effect of delirium among patients admitted in critical care units and find the association between delirium and variables.	From the time of ICU admission till 7 days or till ICU discharge.

Trial Locations

Locations (1): Kasturba Hospital Manipal
🇮🇳
Udupi, KARNATAKA, India
Kasturba Hospital Manipal
🇮🇳Udupi, KARNATAKA, India
Anushree Naik
Principal investigator
8277554553
anushreenaik98@gmail.com