Agitation, Emergence, Critical Illness, Delirium, Pain
Conditions
Keywords
Emergency Department Intensive Care Units, Prevalence, Survey, Practices
Brief summary
Investigate the prevalence of PADIS in EICU, as well as the awareness and clinical implementation status of medical staff towards PADIS. The investigators conducted a multicenter cross-sectional survey in mainland China, including a one-day point prevalence investigation and a questionnaire survey. The inclusion criteria encompassed all adult patients admitted to the participating emergency department intensive care units (EDICUs) during the on-site screening, while exclusion criteria comprised patients aged less than 18 years, EDICU stays duration less than 24 hours before the screening, and participation in other concurrent trials. Hospital and nursing records from the 24 hours preceding enrollment were examined to document the assessment rate of pain, agitation-sedation, and delirium. Physicians and nurses on duty 24 hours before the patients' enrollment was invited to complete the questionnaire survey regarding the ICU profiles, professional expertise, assessment and treatment of PAD, early mobilization, and sleep improvement practices.
Interventions
BEHAVIORALPADIS assessment
Hospital and nursing records from the 24 hours preceding enrollment were examined to document the assessment rate of pain, agitation-sedation, and delirium.
Sponsors
Beijing Tiantan Hospital
The First Affiliated Hospital of Anhui Medical University
The First Affiliated Hospital of Dalian Medical University
Fudan University
Affiliated hospital of Guilin medical university,China
The Second Affiliated Hospital of Hainan Medical University
The First Hospital of Hebei Medical University
The First Hospital of Jilin University
Southwest Hospital, China
General hospital of shenyang military command
Beijing Anzhen Hospital
Mianyang Central Hospital
Tianjin Medical University General Hospital
The First Affiliated Hospital of Zhengzhou University
The Jiangxi Provincial People's Hospital
Capital Medical University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients admitted to the participating EDICU during the on-site investigation
Exclusion criteria
* Age less than 18 years; * EDICU stay duration before the screening was less than 24 hours * Enrollment in other concurrent trials.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PADIS assessment rate | 24 hours before enrollment |
Secondary
| Measure | Time frame |
|---|---|
| Rates of analgesic and sedative administration | 24 hours before enrollment |
| Rate of accidental removal of the catheter during the EICU stay | From the start of the survey day until transfer out of the EDICU or 60 days after the survey day. |
| EDICU length of stay | From the start of the survey day until transfer out of the EDICU or 60 days after the survey day. |
| The hospital length of stay | From the start of the survey day until transfer out of the EDICU or 60 days after the survey day. |
Countries
China
Outcome results
None listed