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

Munro, Cindy L.; Cairns, Paula; Ji, Ming; Calero, Karel; Anderson, William M.; Liang, Zhihou

doi:10.1016/j.hrtlng.2017.05.002

Cited by 71 publications

(116 citation statements)

References 29 publications

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“…Within the three studies that did report family caregiver's age, the mean age was 63 years. Four of the five studies included participants who had cognitive impairment or dementia in their past medical history. However, the percentage of patients with cognitive impairment or dementia was not consistently reported within these studies.…”

Section: Resultsmentioning

confidence: 99%

“…However, the percentage of patients with cognitive impairment or dementia was not consistently reported within these studies. Four of the five studies used the 3‐Minute Diagnostic Interview for Confusion Assessment Method (3DCAM) or the adapted 3DCAM (CAM‐ICU) to identify days in delirium. All five studies used mean days to identify hospital length of stay.…”

Section: Resultsmentioning

confidence: 99%

“…Four of the five studies compared the duration of delirium using the 3DCAM or CAM‐ICU . The 3DCAM is a cognitive assessment administered daily to identify if delirium present .…”

Section: Resultsmentioning

confidence: 99%

“…All five studies compared the length of hospital stay using number of days. Findings of these studies were combined in a meta‐analysis (95% CI, P ‐value = 0.005, I 2 0%).…”

Section: Resultsmentioning

confidence: 99%

“…The final sample contained five articles. Three studies were based in ICUs, [18][19][20] and two studies were based in acute general medical wards. 4,21 The PEDro score of the included articles ranged from 6 to 10 (Table 1).…”

Section: Yieldmentioning

confidence: 99%

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Family intervention improves outcomes for patients with delirium: Systematic review and meta‐analysis

McKenzie

Joy

2019

Australas J Ageing

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Objective To determine if family caregiver involvement in interventions with patients with delirium improves patient outcomes. Methods A search of three databases (Medline‐Ovid, CINAHL and Embase) was conducted. Eligibility criteria included adult patients and involvement of family caregivers in any delirium intervention. Data were extracted from each study (determined by PEDro scale) using a customised form. A meta‐analysis was undertaken which compared the length of hospital stay and duration of delirium. PROSPERO registration number is CRD42017077650. Results Five studies involving 505 participants published over a 5‐year period were suitable for inclusion. Low‐level evidence demonstrated family caregiver involvement may reduce caregiver's anxiety and hospital staff viewed administration of education to family caregivers as efficient. Meta‐analysis suggested family interventions reduce length of hospital stay for patients with delirium. It remains unclear if it affects the duration of delirium. Conclusion Family caregivers providing interventions to patients with delirium can improve patient outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Four of the five studies compared the duration of delirium using the 3DCAM or CAM‐ICU . The 3DCAM is a cognitive assessment administered daily to identify if delirium present .…”

Section: Resultsmentioning

confidence: 99%

“…All five studies compared the length of hospital stay using number of days. Findings of these studies were combined in a meta‐analysis (95% CI, P ‐value = 0.005, I 2 0%).…”

Section: Resultsmentioning

confidence: 99%

Section: Yieldmentioning

confidence: 99%

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Family intervention improves outcomes for patients with delirium: Systematic review and meta‐analysis

McKenzie

Joy

2019

Australas J Ageing

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The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J‐SSCG 2020)

Egi

Ogura

Yatabe

et al. 2021

Acute Medicine & Surgery

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The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J‐SSCG 2020), a Japanese‐specific set of clinical practice guidelines for sepsis and septic shock created as revised from J‐SSCG 2016 jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in September 2020 and published in February 2021. An English‐language version of these guidelines was created based on the contents of the original Japanese‐language version. The purpose of this guideline is to assist medical staff in making appropriate decisions to improve the prognosis of patients undergoing treatment for sepsis and septic shock. We aimed to provide high‐quality guidelines that are easy to use and understand for specialists, general clinicians, and multidisciplinary medical professionals. J‐SSCG 2016 took up new subjects that were not present in SSCG 2016 (e.g., ICU‐acquired weakness [ICU‐AW], post‐intensive care syndrome [PICS], and body temperature management). The J‐SSCG 2020 covered a total of 22 areas with four additional new areas (patient‐ and family‐centered care, sepsis treatment system, neuro‐intensive treatment, and stress ulcers). A total of 118 important clinical issues (clinical questions, CQs) were extracted regardless of the presence or absence of evidence. These CQs also include those that have been given particular focus within Japan. This is a large‐scale guideline covering multiple fields; thus, in addition to the 25 committee members, we had the participation and support of a total of 226 members who are professionals (physicians, nurses, physiotherapists, clinical engineers, and pharmacists) and medical workers with a history of sepsis or critical illness. The GRADE method was adopted for making recommendations, and the modified Delphi method was used to determine recommendations by voting from all committee members. As a result, 79 GRADE‐based recommendations, 5 Good Practice Statements (GPS), 18 expert consensuses, 27 answers to background questions (BQs), and summaries of definitions and diagnosis of sepsis were created as responses to 118 CQs. We also incorporated visual information for each CQ according to the time course of treatment, and we will also distribute this as an app. The J‐SSCG 2020 is expected to be widely used as a useful bedside guideline in the field of sepsis treatment both in Japan and overseas involving multiple disciplines.

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Close relatives' perspective of critical illness due to COVID‐19: Keeping in touch at a distance

Nordin,

Engström,

Strömbäck

et al. 2023

Nursing Open

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AimTo elucidate the meaning of being a close relative of a critically ill person cared for in intensive care during the initial phase of the COVID‐19 pandemic.DesignA narrative inquiry design following the COREQ guidelines.MethodsIndividual interviews with fifteen close relatives of patients critically ill with COVID‐19 were analysed using phenomenological hermeneutics.ResultsThe surreal existence of not being allowed to be near was emotionally difficult. While distancing due to restrictions was challenging, physicians' phone calls served as a connection to their relatives and brought a sense of security. Keeping notes helped them remember what happened and brought order to a chaotic situation.ConclusionClose relatives feel secure when they receive regular information about their critically ill relative, not just when their condition worsens. They wish to be physically near to their critically ill person; when this is impossible, digital technology can provide support, but further accessibility developments are needed.

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

Cited by 71 publications

References 29 publications

Family intervention improves outcomes for patients with delirium: Systematic review and meta‐analysis

Family intervention improves outcomes for patients with delirium: Systematic review and meta‐analysis

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J‐SSCG 2020)

Close relatives' perspective of critical illness due to COVID‐19: Keeping in touch at a distance

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