International Multicenter Study One Day Prevalence Observational Study for Delirium on ICU

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01278524

Acronym

IMPROVE-ICU

Enrollment

1002

Registered

2011-01-19

Start date

2011-01-31

Completion date

2011-01-31

Last updated

2013-08-13

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

Conditions

Delirium

Keywords

Delirium, Analgosedation, ICU, Pain, Implementation

Brief summary

An anonymous international multicenter - clinical survey, one-day observational study.

Detailed description

Delirium is a serious complication in postoperative and critically ill patients and is independently associated with cognitive impairment at hospital discharge and with significantly higher 6-month mortality. Furthermore, ICU delirium is associated with more days requiring mechanically ventilation, longer ICU length of stay, and longer hospital length of stay. More recently a study by Pisani and co-workers' could show an association between days of delirium and mortality; - each additional day spent in delirium is associated with a 20% increased risk of prolonged hospitalization - translating to over 10 additional days - and a 10% increased risk of death.The reported prevalence of delirium in critically ill patients ranges widely from 11% to 87%. The aim of our study is to investigate the implementation rate of routine delirium assessment in European ICUs.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

* Patients staying in the ICU on the 25th of January (one-day prevalence study) No

Design outcomes

Primary

Measure	Time frame
Implementation rate of routine delirium assessment	24 hours

Secondary

Measure	Time frame
Methodology of delirium assessment (e.g. type of score, frequency of evaluation)	24 hours
Non-pharmacological treatment-/prevention strategies	24 hours
Point prevalence of ICU delirium	24 hours
Sedation practices (e.g. scales, daily sedation goals, SBT - spontaneous breathing trials, SAT - spontaneous awakening trials)	24 hours
Analgesia regimes (e.g. scales)	24 hours
Drugs used for delirium treatment	24 hours

Countries

Germany

Outcome results