Delirium
Conditions
Interventions
A Group (F-DREAMS Intervention Group):F-DREAMS intervention on top of standard care
B Group (Control Group):Standard care only
Sponsors
Affiliated Hospital of Guangdong Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Adult patients aged >=18 years admitted to the ICU; 2. Anticipated length of ICU stay to be at least 48 hours; 3. A delirium risk score of >=20% as assessed by the PRE-DELIRIC prediction model; 4. Informed consent provided and signed by the patient or their legally authorized representative; 5. Availability of a close relative or familiar family member willing to provide audio recordings and sensory stimulation materials as per the researcher's instructions.
Exclusion criteria
Exclusion criteria: 1. Patients with severe impairments in vision, hearing, smell, or touch, rendering them unable to effectively receive gentle multisensory stimulation (including but not limited to bilateral deafness, bilateral blindness, bilateral upper limb amputation); or 2. Patients in a terminal or emergent resuscitation state; or 3. Patients with increased intracranial pressure or any neurological condition contraindicated for sensory stimulation; or 4. Patients with a history of neurological disorders or any other condition causing severe cognitive impairment or communication difficulties; or 5. Patients whose family members providing recordings have had minimal or no contact in recent years, or where significant language/cultural differences exist, or who may introduce negative or distressing emotional content; or 6. Patients diagnosed with delirium prior to ICU admission; or 7. Patients with a Richmond Agitation-Sedation Scale (RASS) score < -3 and/or Glasgow Coma Scale (GCS) score < 8; or 8. Patients currently enrolled in other clinical trials; or 9. Patients (and their families) deemed unsuitable for the study by the researchers for any other reason.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Delirium Incidence Rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Delirium Severity;Delirium Frequency;Delirium Duration;Duration of Mechanical Ventilation;ICU Length of Stay;Hospital Length of Stay;Long-term Clinical Outcomes Follow-up; | — |
Countries
China
Contacts
Public ContactYao Zhuangyan
Affiliated Hospital of Guangdong Medical University
Outcome results
None listed