Health Condition 1: A00-B99- Certain infectious and parasitic diseases Health Condition 2: I00-I99- Diseases of the circulatory system Health Condition 3: N00-N99- Diseases of the genitourinary system Health Condition 4: J00-J99- Diseases of the respiratory system Health Condition 5: L00-L99- Diseases of the skin and subcutaneous tissue Health Condition 6: E00-E89- Endocrine, nutritional and metabolic diseases Health Condition 7: S00-T88- Injury, poisoning and certain other consequences of exter
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 adults admitted to icu expected to stay for more than 24 hours 2 ability of patients to understand and communicate 3 patients should be enrolled within 24 hours of ICU admission
Exclusion criteria
Exclusion criteria: invasive ventilation altered sensorium or psychiatric illness or seizure or sleep apnoea hearing or vision impairment pregnancy and breast feeding nil bh mouth hepatic impairment or liver transplant history of substance abuse severe heart failure or hypotension hight blood sugar already on melatonin therapy or drug allergy to melatonin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| occurrence of delirium in ICU patients 1 incidence of delirium 2 duration of deliriumTimepoint: CAM ICU will be assessed at 8am 2pm and 8pm everyday for 3 consecutive days in both groups | — |
Secondary
| Measure | Time frame |
|---|---|
| compliance and comfort of ear plugs and eye maskTimepoint: ease of use, effectiveness and comfort shall be assessed at 8am for 3 consecutive days;indirect markers of delirium severityTimepoint: need for antipsychotic or sedation or physical restraints or participation in physiotherapy sessions or patient removal of IV lines or catheters shall be assessed daily for 3 consecutive days;length of stay in icu or hospital and impact on outcomeTimepoint: till discharge from icu or hospital;sleep quality assessment by Richards Campbell sleep questionnaireTimepoint: sleep questionnaire shall be answered everyday in the morning at 8am for 3 consecutive days | — |
Countries
India
Contacts
Narayana hrudayalaya Surgical hospital mysore