Impact of Alarm Reduction on Delirium in ICU
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Delirium
- Sponsor
- Central Hospital, Nancy, France
- Enrollment
- 89
- Locations
- 1
- Primary Endpoint
- prevalence of delirium, according to a ICDSC score>3
- Status
- Terminated
- Last Updated
- 2 years ago
Overview
Brief Summary
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.
Investigators
Lev VOLKOV
Principal Investigator
Central Hospital, Nancy, France
Eligibility Criteria
Inclusion Criteria
- •age\>18 years, admission to ICU
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
prevalence of delirium, according to a ICDSC score>3
Time Frame: at the end on the ICU stay, an average of 6 days
prevalence of delirium in each group
Secondary Outcomes
- 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)