Critically ill surgical patients cognitive training exercises, non-pharmacological, older, surgical patient, intensive care unit
Conditions
Interventions
The Thai cognitive training exercises include non-pharmacologic (orientation, cognition, clearing eyes and ears, and pain control), digit span, digit game, memory task, blocks test, executive function
Experimental Other,No Intervention No treatment
Thai cognitive training exercises combine with non-pharmacologic,Usual care
Sponsors
Faculty of Medicine Siriraj Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age of 65 years old or more 2.Patients undergoing surgery: general, cardiovascular and thoracic, vascular, urological, head and neck, orthopedic, gynecologic and obstetric 3. Anticipated LOS in SICU of more than 24 hours 4. A Richmond Agitation-Sedation Scale (RASS) score from -2 to +1 5. Hemodynamic stable: Systolic blood pressure (SBP) 90 to 180 mmHg, heart rate (HR) 60 to120 beats/min, the dose of norepinephrine less than 0.1 mcg/kg/min, and dopamine/dobutamine less than 5 mcg/kg/min 6. Respiratory system stability: positive end-expiratory pressure (PEEP) less than 10 cmH2O, and SpO2 more than 95%
Exclusion criteria
Exclusion criteria: 1. Patients who cannot communicate in the Thai language 2. Serious receptive aphasia or severe visual or auditory impairment that precludes communication 3. Severe cognitive impairment or who have a MOCA score of less than 10 4. Severe mental disability 5. Patients who have delirium on admission
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| feasibility of using Thai cognitive training exercises After 7 consecutive days in the ICU and Ward or untill hospital discharge Practicability and burden scores,incidence of delirium Daily assessment of delirium after SICU admission or until hospital discharge or death CAM-ICU and Nu-DESC test | — |
Secondary
| Measure | Time frame |
|---|---|
| duration of delirium Daily assessment of delirium after SICU admission or until hospital discharge or death CAM-ICU and Nu-DESC test,incidence of POCD Preoperative assessment and postoperative day 5 MOCA test,quality of life at hospital discharges EQ-5D-5L | — |
Countries
Thailand
Contacts
Public ContactOnuma Chaiwat
Facuty of Medicine Siriraj hospital, Mahidol university
Outcome results
None listed