Early Occupational Therapy (OT) for Delirium Prevention in Older Patients Admitted to Critical Care Unit (CCU)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 126
- 试验地点
- 1
- 主要终点
- To evaluate Delirium duration
研究概览
简要总结
This is a randomized, controlled trial to compare the efficacy of two strategies of non-pharmacological prevention of delirium in critically non-ventilated older patients:
- standard non-pharmacological prevention
- intensive nonpharmacological prevention (standard non-pharmacological prevention plus early and intensive occupational therapy).
详细描述
Delirium is a complication in older, with incidences 70-87% in CCU. This increases mortality, hospital stay, hospital cost, and cognitive impairment. Occupational Therapy (OT) improves independence at discharge, and reduction in delirium in patients undergoing mechanical ventilation. This study compares the efficacy of non pharmacological standard prevention (control group) versus intensive nonpharmacological prevention (experimental group) in the delirium duration in older admitted CCU.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 95 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age over 60 years.
- •Admission to CCU for monitoring by acute or chronic illness, expected more than 24 hours
- •Informed consent of patient or family related.
排除标准
- •Cognitive impairment before to admission (measured by Test Reporter-TIN).
- •Severe disorder of communication and cultural constraint of language (inhability of properly communicating in Spanish)
- •Delirium at CCU admission or at the beginning of the intervention
- •Need for mechanical ventilation
- •Early limitation of therapeutic efforts and greater comorbidity with expected mortality within 90 days (in the opinion of the treating team).
结局指标
主要结局
To evaluate Delirium duration
时间窗: From second until sixth days hospitalization
Twice a day evaluation for delirium with CAM instrument, for 5 days from enrollment
次要结局
- Delirium incidence(From second until sixth days hospitalization)
- Functional independence(To seventh day of hospitalization and 72 hours before discharge)
- Strenght of Grip evaluation(To seventh day of hospitalization and 72 hours before discharge)
- Cognitive State(To seventh day of hospitalization and 72 hours before discharge)
研究者
Evelyn Alvarez Espinoza, OT, Principal Investigator
E Alvarez
University of Chile