Delirium Clinical Trial
Official title:
Efficacy and Safety of Risperidone and Trazodone Monotherapy and Combination Therapy in Critically Ill Patients With Delirium: A Four-arm Prospective, Randomized, Double-blind, Placebo-controlled Pilot Study
The purpose of this randomized clinical trial is to determine whether risperidone alone, trazodone alone, or a combination of risperidone and trazodone is superior for the treatment of ICU acquired delirium. The hypothesis is that combination therapy is superior to either agent alone in treating ICU acquired delirium and sustaining delirium free time.
Delirium is defined as a disturbance of consciousness characterized by an acute onset of
impaired cognitive function. Although delirium is thought to be common in the Intensive Care
Unit (ICU) there are few studies that have evaluated its incidences, risks and outcomes. It
has been associated with increased morbidity, and mortality and increased cost to the
healthcare system. In addition to the uncertainty of the incidence of ICU delirium, there is
a lack of information about the effects that certain pharmacological treatments have on
delirious patients.
The rationale for this study is to evaluate the efficacy and safety of risperidone alone,
trazodone alone, and risperidone plus trazodone for the treatment of delirium in critically
ill patients when compared to placebo.
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