Delirium Clinical Trial
Official title:
ICU Delirium: a One-week Snapshot of Burden Across the Eastern UK Region
ICU delirium negatively impacts on patient outcomes, as well as on resources and clinical
workflow of the ICU. Effective healthcare resource planning requires reliable (i.e.,
multicentre) data that can inform on both of these.
The purpose of this study was to determine the impact of ICU delirium in terms of both
patients and beds. The study was carried out prospectively, over a one-week period, at adult
ICUs comprising the Norfolk, Suffolk, and Cambridgeshire Critical Care Network (NSC CCN).
Status | Completed |
Enrollment | 225 |
Est. completion date | July 2012 |
Est. primary completion date | July 2012 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Adult patients treated within study time frame on Intensive Care Units across Norfolk, Suffolk, and Cambridgshire, UK Exclusion Criteria: |
Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
United Kingdom | Papworth Hospital NHS Foundation Trust | Cambridge | Cambridgeshire |
Lead Sponsor | Collaborator |
---|---|
Papworth Hospital NHS Foundation Trust | Norfolk, Suffolk, and Cambridgeshire Critical Care Network (NSC CCN) |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Delirium prevalence | Number of patients with at least one recorded delirium-positive result, over total number of patients recorded over study time frame. Delirium screening will be carried out using the CAM-ICU by local direct care clinicians in accordance with region-wide clinical delirium-screening guidelines. | June 25, 2012 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
Secondary | Proportion of patient-days with delirium | Number of patient-days with at least one recorded delirium-positive result over total patient-days recorded. | June 25, 2012 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
Secondary | Median delirium duration | In delirium patients: median number of days recorded with delirium over study time frame. | June 25, 2012 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
Secondary | Median days to transition to delirium | In delirium patients admitted during study time frame: median number of days from ICU admission to first recorded delirium day. | June 25, 2012 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
Secondary | Patient age, by delirium status | In delirium patients versus patients with no recorded delirium-positive result over study time frame: median age. | June 25 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
Secondary | Patient gender, by delirium status | In delirium patients versus patients with no recorded delirium-positive result over study time frame: number of males over total patients in each group. | June 25 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
Secondary | Admission type, by delirium status | In delirium patients versus patients with no recorded delirium-positive result over study time frame: number of (1) urgent/emergency and (2) elective admissions, over total patients in each group. | June 25 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
Secondary | Admission reason, by delirium status | In delirium patients versus patients with no recorded delirium-positive result over study time frame: number of (1) medical and (2) surgical admissions, over total patients in each group. | June 25 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
Secondary | Organ support, by delirium status | In delirium patients versus patients with no recorded delirium-positive result over study time frame: number receiving advanced and basic respiratory, advanced and basic cardiovascular, and renal support since ICU admission to end of study time frame, over total patients in each group. | June 25 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
Secondary | Mobilisation therapy, by delirium status | In delirium patients versus patients with no recorded delirium-positive result over study time frame: number receiving mobilisation therapy over study time frame, over total patients in each group. | June 25 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
Secondary | Median ICU days, by delirium status | In delirium patients versus patients with no recorded delirium-positive result over study time frame: median number of patient-days in ICU per patient, since admission to end of study time frame. | June 25 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
Secondary | Delirium screening compliance | Number of patient-days CAM-ICU administered (1) once or more and (2) twice or more, over total number of patient-days recorded over study time frame. | June 25 (start of ICU day shift) to July 1, 2012 (end of ICU night shift) | No |
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