Delirium
Conditions
Interventions
Control Group:Within the same time window as the music group, the control group wears identical headphones, receives the same player and handheld percussion instrum
Music Therapy Group:Adhering to the principle of autonomy, patients may independently select preferred tonal styles from the music library based on their current physical
Sponsors
Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology
Eligibility
Sex/Gender
All
Age
60 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Age >=60 years 2. Admitted to the ICU with a planned stay of at least 24 hours 3. Richmond Agitation-Sedation Scale (RASS) score between -1 and +1 (drowsy to agitated but responsive to verbal commands) 4. First APACHE II score >=5 after ICU admission (referencing Knaus et al. study, where mortality was only 1.9% for scores 0-4, indicating patients may not require ICU care if condition is too mild) 5. Normal hearing 6. Written informed consent signed by the patient or legal representative.
Exclusion criteria
Exclusion criteria: 1. Receiving mechanical ventilation with concomitant sedation and analgesia 2. Existing delirium at enrollment (positive CAM-ICU score) 3. Severe cognitive impairment (MMSE < 15) or diagnosed dementia 4. Acute neurological disorders including stroke (within 30 days), traumatic brain injury, or status epilepticus 5. History of psychiatric disorders (schizophrenia, bipolar disorder, etc.) 6. Hearing impairment affecting music perception 7. Alcohol or substance withdrawal syndrome 8. Terminal illness with an expected death within 48 hours 9. Simultaneous participation in other clinical trial programs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Delirium incidence rate; | — |
Countries
China
Contacts
Public ContactWei Zhu
Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology
Outcome results
None listed