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The overall purpose of this trial is to assess the relationship between a daily awakening from sedation and the prevalence of delirium, and in doing so better characterize delirium in the ICU.
This is a single center, observational, cross-over design study assessing the impact of daily awakening from sedation on delirium in the ICU. Enrolled patients will receive a daily baseline delirium assessment using the CAM-ICU tool before the awakening from sedation and an assessment during the awakening from sedation. Each patient will thus serve as their own controls for these interventions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sedated mechanically ventilated patients |
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| Measure | Description | Time Frame |
|---|---|---|
| Delirium | Daily |
| Measure | Description | Time Frame |
|---|---|---|
| ICU admitting diagnosis | At enrollment | |
| Medications | Daily | |
| Ventilator free days (or first 28) |
| Measure | Description | Time Frame |
|---|---|---|
| survival | 1 year | |
| institution free days | 1 year |
Inclusion Criteria:
Exclusion Criteria:
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Adult patients (> 18 years old) admitted to the intensive care unit who require mechanical ventilation through an endotracheal tube with infusion of sedative or analgesic medication.
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| Name | Affiliation | Role |
|---|---|---|
| John P Kress, MD | University of Chicago | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Chicago | Chicago | Illinois | 60637 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24423152 | Derived | Patel SB, Poston JT, Pohlman A, Hall JB, Kress JP. Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit. Am J Respir Crit Care Med. 2014 Mar 15;189(6):658-65. doi: 10.1164/rccm.201310-1815OC. |
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| ID | Term |
|---|---|
| D003693 | Delirium |
| D053120 | Respiratory Aspiration |
| ID | Term |
|---|---|
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| At 28 days post-intubation |
| ICU complications | Daily |
| Days to discharge | At discharge |
| Survival | At discharge |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D010335 | Pathologic Processes |