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technical problem, no change of the monitors in the ICU ward
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Delirium is an acute and fluctuating disturbance of consciousness and can occur in 80% of critically ill patients. Delirium is more frequent in mecanically ventilated patients and is associated with longer hospital stay, increased cognitive impairment and mortality. On the occasion of the change of the monitors in the ICU ward, allowing a total withdrawal of alarms in patients room, this study evaluates the prevalence of delirium before and after the alarm withdrawal. During the first period the patients will be monitored as usual, and during the second period patients will be monitored without alarms ringing in patients room. Delirium will be screened with a validated, clinical tool.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group before alarm withdrawal | |||
| groupe after alarm withdrawal |
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| Measure | Description | Time Frame |
|---|---|---|
| prevalence of delirium, according to a ICDSC score>3 | prevalence of delirium in each group | at the end on the ICU stay, an average of 6 days |
| Measure | Description | Time Frame |
|---|---|---|
| prevalence of sub-syndromic delirium in each group, according to a ICDSC score<4 and absence of delirium | at the end on the ICU stay, an average of 6 days | |
| length of mecanical ventilation (days) | at the end on the ICU stay, an average of 6 days |
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Inclusion Criteria:
Exclusion Criteria:
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all patients admitted to ICU, and who meet inclusion criteria
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| Name | Affiliation | Role |
|---|---|---|
| Lev VOLKOV | Central Hospital, Nancy, France | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU Nancy | Nancy | 54000 | France |
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| ID | Term |
|---|---|
| D003693 | Delirium |
| ID | Term |
|---|---|
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| length of stay in ICU (days) | at the end on the ICU stay, an average of 6 days |
| in patients presenting a delirium, duration of delirium (days) defined by the number of days with a ICDSC score>3 | at the end on the ICU stay, an average of 6 days |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |