Delirium
Conditions
Keywords
intensive care unit, critically ill patients, environmental intervention
Brief summary
The implementation of environmental intervention program reduced the duration of delirium and length of stay at the ICU in critically-ill surgical patients.
Detailed description
Purpose: Delirium occurs among patients in intensive care unit at high rates and increases the risk for morbidity and mortality. The purpose of this study is to investigate the effects of environmental interventions for the prevention of delirium. Methods: A total of 192 patients who had been admitted to the surgical intensive care unit (SICU) in Asan Medical Center during the pre-intervention period (Jun 2013 to Oct 2013) and the post-intervention period (Jun 2014 to Oct 2014) was enrolled and prospective cohort study was done. The environmental intervention included cognitive assessment, providing orientation and comfortable environment, and a proper sleeping environment. The primary outcomes were the incidence rate of delirium, time of delirium onset, and the duration of delirium.
Interventions
BEHAVIORALenvironmental intervention
provide environmental intervention (help sleep cycle, provide comfortable environment)
Sponsors
Asan Medical Center
Study design
Allocation
NON_RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* with an age of 18 years or older * who understood the purpose of this study and agreed to participate * stayed in the SICU for a period of 48 hours or longer
Exclusion criteria
* who remained unresponsive \[defined as the Richmond Agitation-Sedation Scale (RASS) less than -4\] * who could not measure Confusion Assessment Method (CAM-ICU) due to severe visual or hearing disturbance * who had a history of severe psychiatric or neurologic deficit * who required an isolation room due to transplantation or immunologic compromise * who were discharged from ICU within 48 hours * who were re-admitted to the ICU * who were less than 18 years old * who were admitted to the Surgical ICU through another ICU
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the duration of delirium | 5 month |
| the incidence rate of delirium | 5 month |
| time to delirium onset | 5 month |
Secondary
| Measure | Time frame |
|---|---|
| the rate of re-admission to the SICU | 5 month |
| the number of days of ventilator use | 5 month |
| mortality rate. | 5 month |
| the length of stay at the SICU | 5 month |
| the length of stay at hospital | 5 month |
Countries
South Korea
Outcome results
None listed