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EFFICACY OF A MULTI-COMPONENT CARE PLAN (ABCDEF BUNDLE) TO REDUCE CONFUSION IN CRITICALLY ILL ADULT PATIENTS WITH SEVERE INFECTIONS PRESENTED IN EMERGENCY DEPARTMENT

EFFICACY OF ABCDEF BUNDLE (assess, prevent and manage pain, both spontaneous awakening and breathing trial, choice of analgesia and sedation, assess, prevent and manage delirium, early mobility and exercise, and family engagement and empowerment) FOR REDUCTION OF INTENSIVE CARE DELIRIUM IN ADULT EMERGENCY MEDICAL PATIENTS ADMITTED WITH SEPSIS

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2024/11/076432
Enrollment
60
Registered
2024-11-08
Start date
Unknown
Completion date
Unknown
Last updated
2024-12-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: I959- Hypotension, unspecified Health Condition 2: A419- Sepsis, unspecified organism

Interventions

Intervention1: ABCDEF BUNDLE: Participants in this group will be applied ABCDEF bundle, i.e. 6 components viz Assess, prevent and manage pain, Both spontaneous awakening and breathing trials, Choic

Sponsors

Postgraduate institute of medical education and research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adult patients =18 years of age presented with sepsis ( SOFA score=2 for patient with no pre-existing organ dysfunction and acute change in SOFA score by =2 in a patient with pre-existing organ dysfunction) will be included in the study trial.

Exclusion criteria

Exclusion criteria: Patients expected to have hospital stay less than 2 days of duration. Patients who are unable to understand a common language due to visual, auditory or linguistic problems (unable to speak English, Hindi or Punjabi). Patients who come under surgical unit. Patients who come under trauma unit. Patient who is pregnant. Patient who has any evidence of meningitis or meningoencephalitis. Patient who has any evidence of central nervous system disorder that is considered not to be caused by sepsis based on clinical examination e.g. Stroke, severe head trauma, brain tumour, cerebrovascular dementia and Alzheimer’s disease). Patient denying for informed consent. Patient who are COVID-19 RT-PCR positive. Patients with drug intoxication. Patients having withdrawal syndromes. Patients diagnosed with envenomation. Patients who are undergoing end of life care.

Design outcomes

Primary

MeasureTime frame
Incidence of deliriumTimepoint: 14 days

Secondary

MeasureTime frame
Duration of delirium. Length of stay in mechanical ventilation. Length of stay in ICU. Dose of antipsychotics. Mortality.Timepoint: 14 days

Countries

India

Contacts

Public ContactDr Saurabh C Sharda

Postgraduate institute of medical education and research

saurabhcsharda@gmail.com01722756670

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026