delirium delirium
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged = 70 years or older, accepted for cardiac surgery and who are invited to the preoperative outpatient screening or are waiting in other hospitals to be transferred to Medisch Spectrum Twente. Patients who are capable to understand the research procedures and to provide informed consent
Exclusion criteria
Exclusion criteria: Patients are excluded when (According to Instructions for use, v 15-07-2021): - taking lithium or clozapine, - under sedation (RASS -3), - metal parts or metal equipment in the head, - diagnosed with dementia, acute brain damage, or other conditions that affect EEG signals (such as acute brain damage). The above-mentioned issues can influence the EEG signals and can give higher DeltaScan scores than expected. In patients having metal parts in their head, unpredictable measurements can occur. 2. SC-EEG measurements cannot be performed in the ICU for a period of 72 hours. These patients have a longer postoperative process and will have a different follow-up than the study protocol prescribes.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Differences in DeltaScan Scores in a linear mixed model: - The difference in DeltaScan scores over time between patients with and without delirium | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of delirium based on observations from nurses, medical file, and DeltaScan scores, as determined with DSM-5, n (%)The DeltaScan scores from 1 to 5 in patients with no delirium, as determined with DSM-5.The DeltaScan scores from 1 to 5 in patients with delirium, as determined with DSM-5.Difference in delirium subtype (hypo-, hyperactive, mixed delirium, and no motor subtype) when delirium is diagnosed, n (%): Definition of the different motor subtypes of delirium will be described according to the definition used in the article of Meagher et al. (2008).Patient satisfaction questionnaire (7 questions) measured with a Likert scale (Strongly disagree, Disagree, Undecided, Agree to Strongly agree) before discharge | — |
Countries
Netherlands
Contacts
Medisch Spectrum Twente (MST)