Delirium
Conditions
Keywords
Delirium, Screening, Therapy, CAM-ICU
Brief summary
Delirium in intensive care unit (ICU) settings is a frequent complication with reported prevalence of 31%. Recent data has revealed the connection between delirium and increased 30days mortality after hospital release and the higher incidence of readmission to emergency. Despite the high prevalence and well described validation methods for screening, the precise incidence remains unclear due to insufficient screening in ICU settings. The incidence of delirium in Czech Republic remains undescribed, beside data reported from neurointensive care patients and single-center general critically ill patients data.
Detailed description
All patients fulfilling inclusion criteria in intensive care settings in involved ICUs in Czech Republic will be included into the study. Data will be recorded for 1 consequent month. Basic demography will be evaluated. In each patient standard delirium screening based on the institutional ICU rules will be performed. If no screening method were set,Confusion Assessment Method - CAM-ICU for adult and pediatric Confusion Assessment Method -pCAM-ICU for pediatric patients would be used together with delirium management, restrain procedures, sedative/neuroleptics administration, 28-days mortality. All data will be recorded into to predefined eCRF.
Interventions
DIAGNOSTIC_TESTCAM-ICU
Delirium in adult patients will be screened according to CAM-ICU
DIAGNOSTIC_TESTpCAM-ICU
Delirium in adult patients will be screened according to pCAM-ICU
Sponsors
Masaryk University
Department of Neurology, University Hospital Brno
Brno University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients in ICU settings * in defined time interval of the study
Exclusion criteria
* duration of ICU stay shorter than 24 hours
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Delirium prevalence | during 30 days after study initiation in selected ICU | Delirium prevalence by CAM-ICU and pCAM-ICU will be screened in defined time interval |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Delirium management | during 30 days after study initiation in selected ICU | Management of delirium will be evaluated |
| Inhospital mortality | during 30 days after study initiation in selected ICU | Inhospital mortality will be evaluated |
| 28-days mortality | after patient inclusion into the study | 28-days mortality will be evaluated |
| 90-days mortality | after patient inclusion into the study | long term mortality will be evaluated |
Countries
Czechia
Contacts
Primary ContactJozef UO Klučka, assoc.prof.MD., Ph.D.
Backup ContactJan Malaska, MD.PHD. EDIC
Outcome results
None listed