Critical Illness, Delirium in the Intensive Care Unit, Sleep Quality
Conditions
Keywords
Sleep in the ICU, Delirium in the ICU, Delirium biomarkers
Brief summary
The goal of this observational study is to learn if there are potential digital and plasma-based biomarkers that could help detect, predict, and prognosticate delirium in older adult patients who are admitted to the intensive care unit (ICU). The main question DELTA aims to answer is: Can digital biometrics predict and detect delirium in older adult ICU patients? Do biomarkers of neurodegeneration fluctuate in ICU patients in such a way that delrium could potentially be predicted? Participants admitted o the ICU will wear a digital device to collect biometric data and will have serial plasma samples collected during ICU admission and patients will be also assessed for delirium daily by study staff.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Admitted to the intensive care unit * Able to consent or have a legally authorized representative consent on their behalf * English speaker * Expected ICU stay of 48 hours or more
Exclusion criteria
* Advanced dementia * End stage liver disease * Renal replacement therapy * Structural brain injury, including but not limited to traumatic brain injury, cerebrovascular accident and intracranial hemorrhage,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Delirium | Between enrollment and ICU discharge, up to a maximum of 10 days. | Delirium incidence as assessed by the CAM-ICU instrument. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sleep Duration | Between enrollment and ICU discharge up to a maximum 10 days in the ICU. | Daily total sleep duration as measured by actigraphy |
| Sleep fragmentation | Nightly between enrollment and ICU discharge, up to a maximum of 10 days. | Nightly sleep fragmentation as measured by actigraphy |
| Circadian activity rhythm disruption | Daily between enrollment and ICU discharge, up to a maximum of 10 days. | Using daily activity/temperature/heart rate, circadian activity rhythms will be assessed for goodness of fit to a cosinor curve. |
Countries
United States