Treatment of critically ill patients in the ICU is often complicated by the onset of delirium. Delirium is a psycho-organic disorder , characterized by an acute disturbance of consciousness and changes in cognition, often with a fluctuating course. Symptoms of delirium include change in level of awareness, decreased attention span, memory deficit, disorientation, language disturbance and hallucinations. Other symptoms commonly associated with delirium are confusion, agitation, apathy, anxiety,
Conditions
Interventions
All ICU patients included in the study will be treated according to the new pain, agitation, and delirium guideline during 12 weeks (group A). Primary and secondary outcomes will be registered. Data w
Sponsors
Atrium Medisch Centrum Parkstad
Eligibility
Inclusion criteria
Inclusion criteria: All patients admitted to the Intensive Care Unit of the Atrium Medisch Centrum Parkstad between November 2014 and February 2015 are treated according to latest Pain, Agitation, and Delirium guideline.
Exclusion criteria
Exclusion criteria: -Age < 18 years -Pre-existent delirium 24 hours before admittance to ICU -Richmond Agitation Sedation Score (RASS) -4/-5 during ICU stay -< 24 hours ICU stay -Deafness or serious visual impairment -Unable to speak or understand Dutch language -Serious mental handicaps -Pre-existent cognitive impairment or dementia -Aphasia -Delirium screening compliance rate <80% during ICU stay
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Delirium incidence | — |
Secondary
| Measure | Time frame |
|---|---|
| ICU stay, hospital stay, mortality, comorbidity, NRS/CPOT score, RASS score, CAM-ICU score. | — |
Contacts
Public ContactH.J.H. Bremer
Psychiater Atrium Medisch Centrum Parkstad Henri Dunantstraat 5
Outcome results
None listed