Postoperative delirium after cardiac surgery in the ICU
Conditions
Interventions
Multi-component interventions based on VR technology:VR technology-based prevention of postcardiac delirium in the ICU has been added to conventional precautions. This section
The self-developed VR in
each module takes about 10-30 min.
Conventional intensive care group:Based on a literature review, expert consultation, and prior research, a cluster care approach to preventing delirium after cardiac surgery in the ICU was developed,
Sponsors
Run Run Shaw Hospital, Zhejiang University School of Medicine
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: In this study, we intend to include patients who were transferred to ICU for hospitalisation after needing to undergo cardiac surgery in Shaw Hospital, Zhejiang University School of Medicine, as study subjects. The inclusion criteria were: (1) Age = 18 years; (2) Need to undergo cardiac surgery and need to be transferred to the ICU after the surgery, and the types of cardiac surgery include valve surgery, coronary artery bypass grafting, and major vessel surgery; (3) Voluntarily participate in this study and sign an informed consent form. If the subject is unable to read and sign the informed consent due to incapacitation, his/her guardian should act on his/her behalf and sign the informed consent; if he/she is illiterate, a witness should witness his/her informed consent and he/she should decide to participate in the study.
Exclusion criteria
Exclusion criteria: In this study, we intend to include patients who were transferred to ICU for hospitalisation after needing to undergo cardiac surgery in Shaw Hospital, Zhejiang University School of Medicine, as study subjects. The exclusion criteria were: (1) Presence of a serious mental disorder disease, such as dementia, before undergoing cardiac surgery; (2) Having severe hearing or visual impairment; (3) Those who were unable to communicate by word or speech; (4) Those with motion sickness and vestibular dysfunction; (5) After anaesthesia resuscitation period, -3 points < Richmond Agitation-Sedation Rating Scale (RASS) score = 2 points; (6) ICU stay <24 hours.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence and duration of postoperative cardiac delirium during the ICU period; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of delirium during hospitalisation;Survival days at 28 and 90 days;In-hospital mortality; | — |
Countries
China
Contacts
Public ContactZhuang Yiyu
Run Run Shaw Hospital, Zhejiang University School of Medicine
Outcome results
None listed