Ignite Creation Date:
2024-05-06 @ 8:09 PM
Last Modification Date:
2024-10-26 @ 3:22 PM
Study NCT ID:
NCT06279390
Status:
COMPLETED
Last Update Posted:
2024-02-28
First Post:
2023-11-12
Brief Title:
PRE-DELIRIC Prediction Model Plus SMART Care to Reduce the Incidence of Delirium in ICU Patients
Sponsor:
National Taiwan University Hospital
Organization:
National Taiwan University Hospital
Study Overview
Official Title:
Effectiveness of PRE-DELIRIC-Guided SMARTSmART Care in Reducing Delirium Incidence Among Surgical Intensive Care Unit Patients
Status:
COMPLETED
Status Verified Date:
2023-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Delirium is a severe acute brain dysfunction characterised by sudden confusion inattention and fluctuating level of consciousness which mainly affects intubated intensive care patients It increases the risk of self-extubation prolongs ICU stay and increases mortality The incidence of delirium in ICUs varies with approximately 333 of patients affected and rates of new-onset and pre-existing delirium range from 4 to 89 Accurate diagnosis is challenging with 60-80 of patients remaining undiagnosed Early detection is critical for intervention and improved outcomes
To address these issues the PREdiction of DELIRium PRE-DELIRIC model incorporates 10 risk factors and predicts delirium within 24 hours of ICU admission allowing risk stratification into low to very high risk categories It recalibrates predictive values with a sensitivity of 913 and specificity of 644 using a cut-off score of 27 However its integration into delirium management is underexplored Delirium risk stratification supports efficient resource allocation cost control workload reduction and ethical care while promptly identifying high-risk patients
In this study Investigators evaluate the integration of the PRE-DELIRIC model into a comprehensive delirium management approach called PRE-DELIRIC-guided SMARTSmART care SMART care includes improving familiarity assessing pain and anxiety reducing equipment discomfort and cognitive stimulation Patients with PRE-DELIRIC scores 30 receive SMART care and multidisciplinary involvement based on the American Delirium Society
To address these issues the PREdiction of DELIRium PRE-DELIRIC model incorporates 10 risk factors and predicts delirium within 24 hours of ICU admission allowing risk stratification into low to very high risk categories It recalibrates predictive values with a sensitivity of 913 and specificity of 644 using a cut-off score of 27 However its integration into delirium management is underexplored Delirium risk stratification supports efficient resource allocation cost control workload reduction and ethical care while promptly identifying high-risk patients
In this study Investigators evaluate the integration of the PRE-DELIRIC model into a comprehensive delirium management approach called PRE-DELIRIC-guided SMARTSmART care SMART care includes improving familiarity assessing pain and anxiety reducing equipment discomfort and cognitive stimulation Patients with PRE-DELIRIC scores 30 receive SMART care and multidisciplinary involvement based on the American Delirium Society
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None