Abstract
Objectives Explore the effect of an automated reorientation intervention on ICU delirium in a prospective randomized controlled trial. Background Delirium is common in ICU patients, and negatively affects outcomes. Few prevention strategies have been tested. Methods Thirty ICU patients were randomized to 3 groups. Ten received hourly recorded messages in a family member's voice during waking hours over 3 ICU days, 10 received the same messages in a non-family voice, and 10 (control) did not receive any automated reorientation messages. The primary outcome was delirium free days during the intervention period (evaluated by CAM-ICU). Groups were compared by Fisher's Exact Test. Results The family voice group had more delirium free days than the non-family voice group, and significantly more delirium free days (p = 0.0437) than the control group. Conclusions Reorientation through automated, scripted messages reduced incidence of delirium. Using identical scripted messages, family voice was more effective than non-family voice.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 234-238 |
| Number of pages | 5 |
| Journal | Heart and Lung: Journal of Acute and Critical Care |
| Volume | 46 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jul 1 2017 |
| Externally published | Yes |
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Keywords
- Critical illness
- Delirium
- Delirium intervention
- Delirium prevention
- Family
- Intensive care unit
- Nursing care
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Critical Care and Intensive Care Medicine
- Cardiology and Cardiovascular Medicine
Cite this
Delirium prevention in critically ill adults through an automated reorientation intervention – A pilot randomized controlled trial. / Munro, Cindy; Cairns, Paula; Ji, Ming; Calero, Karel; Anderson, W. Mc Dowell; Liang, Zhan.
In: Heart and Lung: Journal of Acute and Critical Care, Vol. 46, No. 4, 01.07.2017, p. 234-238.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Delirium prevention in critically ill adults through an automated reorientation intervention – A pilot randomized controlled trial
AU - Munro, Cindy
AU - Cairns, Paula
AU - Ji, Ming
AU - Calero, Karel
AU - Anderson, W. Mc Dowell
AU - Liang, Zhan
PY - 2017/7/1
Y1 - 2017/7/1
N2 - Objectives Explore the effect of an automated reorientation intervention on ICU delirium in a prospective randomized controlled trial. Background Delirium is common in ICU patients, and negatively affects outcomes. Few prevention strategies have been tested. Methods Thirty ICU patients were randomized to 3 groups. Ten received hourly recorded messages in a family member's voice during waking hours over 3 ICU days, 10 received the same messages in a non-family voice, and 10 (control) did not receive any automated reorientation messages. The primary outcome was delirium free days during the intervention period (evaluated by CAM-ICU). Groups were compared by Fisher's Exact Test. Results The family voice group had more delirium free days than the non-family voice group, and significantly more delirium free days (p = 0.0437) than the control group. Conclusions Reorientation through automated, scripted messages reduced incidence of delirium. Using identical scripted messages, family voice was more effective than non-family voice.
AB - Objectives Explore the effect of an automated reorientation intervention on ICU delirium in a prospective randomized controlled trial. Background Delirium is common in ICU patients, and negatively affects outcomes. Few prevention strategies have been tested. Methods Thirty ICU patients were randomized to 3 groups. Ten received hourly recorded messages in a family member's voice during waking hours over 3 ICU days, 10 received the same messages in a non-family voice, and 10 (control) did not receive any automated reorientation messages. The primary outcome was delirium free days during the intervention period (evaluated by CAM-ICU). Groups were compared by Fisher's Exact Test. Results The family voice group had more delirium free days than the non-family voice group, and significantly more delirium free days (p = 0.0437) than the control group. Conclusions Reorientation through automated, scripted messages reduced incidence of delirium. Using identical scripted messages, family voice was more effective than non-family voice.
KW - Critical illness
KW - Delirium
KW - Delirium intervention
KW - Delirium prevention
KW - Family
KW - Intensive care unit
KW - Nursing care
UR - http://www.scopus.com/inward/record.url?scp=85020385174&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85020385174&partnerID=8YFLogxK
U2 - 10.1016/j.hrtlng.2017.05.002
DO - 10.1016/j.hrtlng.2017.05.002
M3 - Article
C2 - 28606450
AN - SCOPUS:85020385174
VL - 46
SP - 234
EP - 238
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
SN - 0147-9563
IS - 4
ER -