Postoperative delirium among neurosurgical patients admitted to the intensive care unit Postoperative Delirium, Delirium Prevention Program, Neurosurgical Patients, Intensive Care Units
Conditions
Interventions
The control group received standard postoperative nursing care provided by the clinical unit, including routine monitoring and management according to usual practice. The participants did not receive
(B) Both spontaneous awakening trials (SATs) and spontaneous breathing trials (SBTs) when appropriate
(C) Choice of analgesia and sedation
(D) Delirium assessment, prevention, and management
(E) Early mobility and exercise
and (F) Family engagement and empowerment
No Intervention No treatment,Experimental Behavioral
Usual Care,Postoperative Delirium Prevention Program
Sponsors
Boromarajonani College of Nursing, Bangkok
Eligibility
Sex/Gender
All
Age
20 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1 Patients aged 20-80 years 2 For elderly patients aged 60-80 years, a Mini-Cog score greater than 3 points is required 3 Patients who are able to communicate in Thai. For patients with endotracheal intubation, they must be able to communicate through writing or follow verbal commands 4 Patients with a Richmond Agitation-Sedation Scale (RASS) score of >= -2 and a negative Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) result upon admission to the neurosurgical intensive care unit. Patients must be awake and conscious within 2 hours after surgery, assessed by the Glasgow Coma Scale (GCS) with a score of 13-15 points 5 Patients without impairments in vision, hearing, or other sensory functions, based on physical assessment findings documented by physicians in the outpatient medical record (OPD card) 6 Patients who have family members or relatives available for visitation or communication 7 Patients who voluntarily provide informed consent to participate in the study
Exclusion criteria
Exclusion criteria: 1 Patients with postoperative complications including rebleeding cerebral edema or sepsis 2 Patients with emergency conditions requiring urgent diagnosis or treatment including cardiac arrest respiratory failure or severe continuous seizure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Occurrence of postoperative delirium Delirium assessed within 72 hours after surgery The Confusion Assessment Method of the ICU | — |
Secondary
| Measure | Time frame |
|---|---|
| and length of stay in the intensive care unit among neurosurgical patients Postoperation day admitted in ICU until discharge from ICU Length of stay | — |
Countries
Thailand
Contacts
Public ContactAmornpan Akkaranupappong
Faculty of Nursing, Praboromarajchanok Institute
Outcome results
None listed