Impact of Alarm Reduction on Delirium in ICU
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 89
- 试验地点
- 1
- 主要终点
- prevalence of delirium, according to a ICDSC score>3
研究概览
简要总结
Delirium is an acute and fluctuating disturbance of consciousness and can occur in 80% of critically ill patients. Delirium is more frequent in mecanically ventilated patients and is associated with longer hospital stay, increased cognitive impairment and mortality. On the occasion of the change of the monitors in the ICU ward, allowing a total withdrawal of alarms in patients room, this study evaluates the prevalence of delirium before and after the alarm withdrawal. During the first period the patients will be monitored as usual, and during the second period patients will be monitored without alarms ringing in patients room. Delirium will be screened with a validated, clinical tool.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age>18 years, admission to ICU
排除标准
- •length of stay in ICU<24 hours, moribund patient, deafness, dementia, psychiatric pathology, delirium at admission, acute neurological pathology at admission (stroke, epilepsy, neuro-infection), hepatic encephalopathy, admission for cardiac arrest, admission for voluntary drug intoxication, pregnancy
结局指标
主要结局
prevalence of delirium, according to a ICDSC score>3
时间窗: at the end on the ICU stay, an average of 6 days
prevalence of delirium in each group
次要结局
- length of stay in ICU (days)(at the end on the ICU stay, an average of 6 days)
- prevalence of sub-syndromic delirium in each group, according to a ICDSC score<4 and absence of delirium(at the end on the ICU stay, an average of 6 days)
- length of mecanical ventilation (days)(at the end on the ICU stay, an average of 6 days)
- in patients presenting a delirium, duration of delirium (days) defined by the number of days with a ICDSC score>3(at the end on the ICU stay, an average of 6 days)
研究者
Lev VOLKOV
Principal Investigator
Central Hospital, Nancy, France