Agitation Follow up After Introduction of a New Patient Care Algorithm

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

138 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-07-19

Study Completion Date

2021-03-31

Brief Summary

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Agitation in the intensive care unit is motor hyperactivity. It is frequent (b/w 30% to 70%) and has multiple causes: pain, medical reason, delirium, medication, etc. It can be a source of complication, for the patient, and equipment pullout. International recommendations state that the agitation should be taken care of with standardized protocols to improve patient care.

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Detailed Description

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Data regarding patient characteristics and evaluation criterion will be collected automatically with the unit software (CCC, General Electrics) in specific file.

Care and health teams enter the data systematically following the usual protocol.

First Step :

Follow-up and collection of data of patients included. Agitation evaluation with RASS scale, pain evaluation with BPS or NPRS.

Second Step:

Team training to delirium evaluation scale (CAM-ICU) and to the use of care algorithm.

Third Step:

Follow-up and collection of data of patients included. Use of care algorithm by doctors, nurses and back up training nurse to ensure daily information to health professionals of the care unit.

Concomitant Step:

Post discharge from care unit medical appointment to evaluate anxiety symptoms (HAD scale) and quality of life (SF-12)

Conditions

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Agitation,Psychomotor

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Population "before"

Patient included before implementation of care algorithm.

No interventions assigned to this group

Population "after"

Patients included after the implementation of care algorithm and training of health professionnals

Implementation of agitation care algorithm

Intervention Type OTHER

Following the agitation care algorithm care professional adapt their behavior regarding agitation

Interventions

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Implementation of agitation care algorithm

Following the agitation care algorithm care professional adapt their behavior regarding agitation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient presenting an agitation episode (RASS\>1)
* Intensive care unit hospitalization
* Patient or next of kin if patient not able non opposed on participating to the study

Exclusion Criteria

* Decision to limit life-sustaining therapy
* Brain damage
* Moribund patient
* Patient participating to another trial excluding observational studies
* The patient is pregnant or a lactating female
* Patient under tutorship or curatorship and liberty deprived

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No