Does Rocking Charis Calm Delirious Patients in the Intensive Care Unit

NCT ID: NCT04401514

Last Updated: 2024-03-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 152 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-06-01
• Study Completion Date: 2022-11-13

Brief Summary

Background: Delirium among patients admitted to an ICU is a common condition associated with increased morbidity and mortality. To this point no evidence-based prevention or treatment exist for delirium. Non-pharmacological interventions such as early mobilization and systematic bundle of care have been suggested to decrease the number of days of delirium. So far there exist no studies exploring if delirious patients benefit or not when mobilized to a rocking chair with music therapy.

Objectives: To assess if rocking chair therapy can decrease the burden of delirium in adult, critical ill patients admitted to an ICU.

Design: A clinical initiated multicenter randomized non-blinded trial, of delirious patients mobilized to a rocking chair versus no rocking chair.

Inclusion and exclusion criteria: Inclusion criteria: Adult intensive care patients (18 years and above) diagnosed with delirium with a validated screening tool. Exclusion criteria: if the patient is evaluated not to be mobilized to a rocking chair and expressing discomfort and do not wish to be mobilized, a patient with critical illness neuropati, patients with lever coma, patient in ECM treatment, patients that are mentally permanently incompetent, not receiving active life support if needed, weight more that 130 kg, if informed consent cannot be obtained, if the patient is admitted because of suicide attempt and is the patient have delirium tremens.

Intervention: The experimental intervention is a 20 min. long rocking chair with music therapy. Control intervention is also transferred to the rocking chair, but the therapy program will not be turned on. Standardized pharmacological and non-pharmacological interventions for delirium will continue for both groups. Delirium and consciousness will be evaluated twice a day.

Outcomes: Primary outcome: number of days alive without coma and delirium in the ICU. Secondary outcome: Number of days admitted to the ICU and number of patients with at least one difference in RASS score before end after the experimental intervention.

Trial size: A power calculation have estimated that a total number of 76 patients with delirium should be included in each study group.

Time schedule: We estimate that the inclusion period and follow up will as long as 1 year from the time the first patient is randomized.

Amendment's protocol Agreed by the project group August 22nd 2022, we will do an additional 90-day follow-up of all-cause mortality. This was agreed before the project group or statistician had access to the randomisation key and intervention data, and before any statistical analysis was started.

Detailed Description

The intervention is a 30 min long transfer to a rocking chair with music cure therapy. For the intervention group, the intervention will be turned on and for the control, the rocking and music function will not be turned on.

Conditions

Delirium

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Experiemntal intervention

The experimental intervention is a 20 min. long rocking chair with music therapy.

Group Type: EXPERIMENTAL

Rocking chair therapy

Intervention Type: DEVICE

20 min long rocking therapy with music cure. The therapy can be extended if needed

Control intervention

Control intervention is also transferred to the rocking chair, but the therapy program will not be turned on.

Group Type: ACTIVE_COMPARATOR

Rocking chair therapy

Intervention Type: DEVICE

20 min long rocking therapy with music cure. The therapy can be extended if needed

Interventions

Rocking chair therapy

20 min long rocking therapy with music cure. The therapy can be extended if needed

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• admitted to ICU
• positive delirium evaluation with CAM-ICU or ICDSC

Exclusion Criteria

• if the patient is evaluated not to be mobilized to a rocking chair
• expressing discomfort and do not wish to be mobilized
• patients with critical illness neuropathy
• patients with levercoma
• patient in ECOM (exstracorporel membrane oxygenation) treatment
• patients that are mentally permanently incompetent
• patients not receiving active life support if needed
• patients that weight more than 130 kg
• patients were informed consent cannot be obtained
• patients admitted because of suicide attempt
• patients with delirium tremens

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 110 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Scandinavian Critical Care Trials Group

OTHER

Sponsor Role: lead

Responsible Party

Anders Perner

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ingrid Egerod, Professor

Role: STUDY_CHAIR

Department of Intensive care, Copenhagen University Hospital, Denmark

Locations

Copenhagen University Hospital, Rigshospitalet

Copenhagen, , Denmark

Countries

Denmark

References

Collet MO, Nielsen GM, Thorn L, Laerkner E, Fischer S, Bang B, Langvad A, Granholm A, Egerod I. Rocking Motion Therapy for Delirious Patients in the ICU: A Multicenter Randomized Clinical Trial. Crit Care Med. 2025 Jan 1;53(1):e161-e172. doi: 10.1097/CCM.0000000000006495. Epub 2024 Nov 15.

Reference Type: DERIVED

PMID: 39792532 (View on PubMed)

Other Identifiers

RockingICU

Identifier Type: -

Identifier Source: org_study_id