Delirium prevention in critically ill adults through an automated reorientation intervention – A pilot randomized controlled trial

    loading  Checking for direct PDF access through Ovid

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.

Related Topics

    loading  Loading Related Articles