Delirium After Cardiac Surgery in Intensive Care Units
The Use of Auditory-visual Stimulation to Reduce Delirium Rates in Intensive Care Patients Post-cardiac Surgery: a Feasibility Study
Imperial College Healthcare NHS Trust
30 participants
Mar 20, 2024
INTERVENTIONAL
Conditions
Summary
STUDY SUMMARY STUDY DESIGN The study will be conducted over twelve months in the Cardiac Intensive Care Unit (ICU) at Hammersmith Hospital, Imperial College Healthcare NHS Trust (ICHT). This study is a mixed methods research design that includes the collection of data through qualitative interviews, quality-of-life questionnaires and patients' medical records. AIMS * Determine the incidence of ICU delirium in ICHT following cardiac surgery * Explore the compliance of outcome measures that diagnose ICU delirium * Implement a family-focused sensory stimulation programme in the ICU * Evaluate its useability and potential impact on patients, families and ICU staff STUDY POPULATION 30 study participants (12 patients, 12 family members/friends and 6 ICU nurses) ELIGIBILITY Study eligibility criteria are specific for each care group (patients, family members/friends and ICU nurses). DURATION 12 months at Hammersmith Hospital, ICHT
Eligibility
Inclusion Criteria9
- Patients
- Female and male patients over the age of 18
- Participants speaking English language and having mental capacity to consent
- Suitable to undergoing cardiac surgery at ICHT.
- Family Members/Friends
- Nominated by the participant.
- Be willing to record videos and participate in the study.
- Healthcare professionals
- \- Critical Care Nurses that have provided direct care to at least one patient who received the study intervention
Exclusion Criteria21
- Patients
- Female and male patients under the age of 18
- Unable to consent to the study pre-operatively
- Significant hearing/visual impairment
- Participants with learning disabilities, pre-existing delirium, dementia or other significant underlying cognitive morbidity
- Moribund participants, likely to die in the next 24 hours
- Participants that do not speak English language
- Family Members/Friends
- Refuse to consent or gain assent
- Significant hearing/visual impairment
- Family members/friends that do not speak English language
- Healthcare professionals
- Critical care nurses that have not been involved in the implementation of the intervention
- Refuse to consent or gain assent
- Significant hearing/visual impairment and non-English speaking
- WITHDRAWAL CRITERIA:
- Participants
- No longer willing to participate after consent
- Personal consultee wishing to withdraw participants from the study
- Patients that the clinical and/or research team deem too distressed to continue participating in the study
- Patients who have lost the capacity to participate in the study after hospital discharge
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Interventions
Digital photos will be shown continuously at the patient's bedside for 12 hours a day (between 8 am to 8 pm).
Family-recorded videos will be played three times at specific hours of the day - 9 am, 2 pm and 7 pm - throughout patient stay in the ICU
The last video shown will be re-played upon patient request and/or if patients develop ICU delirium.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06355570