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The purpose of this study is to evaluate whether daily exposure to immersive virtual reality (VR) can reduce the incidence of delirium in high-risk, non-intubated ICU patients. Participants will be randomized to either standard ICU care or standard care plus once-daily 15-minute VR sessions consisting of calming natural scenes, guided meditation, and music. The study population includes adult surgical ICU patients at Cedars-Sinai who are CAM-ICU negative at enrollment and possess at least one established risk factor for delirium. Outcomes will include the incidence and duration of delirium, ICU and hospital length of stay, feasibility of the VR intervention, and the frequency of adverse events. By targeting a high-risk population with an innovative non-pharmacologic therapy, this trial aims to generate data to support integration of VR into ICU delirium prevention protocols.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard ICU delirium prevention | No Intervention | ||
| Study ICU Delirium Prevention and VR treatment | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Virtual Reality therapeutics | Device | Patients will receive daily VR sessions for up to 5 days in addition to regular delirium prevention measures in the ICU |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of ICU Delirium | Using the CAM-ICU assessment, patients will be evaluated for the development of ICU delirium | From enrollment in the study until ICU discharge. Assessed Day 1 in the morning and evening for the duration of the ICU admission, up to 24 months from enrollment. |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of ICU delirium | Number of days the patient experienced ICU delirium while admitted to the ICU | From the time of study enrollment until the time of discharge from the ICU, up to 24 months from enrollment. |
| ICU-LOS |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Devon S Callahan, MD | Contact | 310-423-2402 | devon.callahan@cshs.org |
| Name | Affiliation | Role |
|---|---|---|
| Devon S Callahan, MD | Cedars-Sinai Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cedars Sinai Medical Center | Recruiting | Los Angeles | California | 90048 | United States |
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ICU length of stay
| From time admitted to the ICU until discharge from the ICU, up to 24 months from enrollment. |
| H-LOS | Hospital Length of stay | From time admitted to the hospital until discharge from the hospital, up to 24 months from enrollment. |
| Acceptability by patients | Able to complete VR sessions as detailed in the study | From time enrolled in the study until the patient has completed the study interventions (either on discharge from the ICU or after 5 days of interventions, whichever comes first), from Day 1 until Day 5 after enrollment. |
| Number of adverse events | Adverse events related to VR, such as nausea, dizziness, seizures, will be assessed from the time of enrollment in the study up until the time of discharge from the hospital, from time of enrollment on Day 1 until Day 5 after enrollment, if applicable. |