Delirium After Cardiac Surgery in Intensive Care Units

Launched by IMPERIAL COLLEGE HEALTHCARE NHS TRUST · Apr 4, 2024

Keywords

ClinConnect Summary

This clinical trial is studying the occurrence of delirium in patients who have had heart surgery and are in the Intensive Care Unit (ICU). Delirium is a sudden change in mental status that can cause confusion and disorientation. The researchers want to find out how common this condition is after cardiac surgery and how well existing measures identify it. They will also test a new program that provides sensory stimulation to help patients, their families, and the ICU staff cope better during this challenging time.

To participate in the study, patients must be over 18, able to understand and give consent, and undergoing cardiac surgery at Hammersmith Hospital. Family members or friends nominated by the patient can participate, along with ICU nurses who have cared for eligible patients. Throughout the study, which will last a year, participants can expect to be involved in interviews and complete quality-of-life questionnaires. The goal is to improve care for patients recovering from cardiac surgery and support their families while also providing valuable insights for the ICU staff.

Gender

ALL

Eligibility criteria

• • INCLUSION CRITERIA
• • Patients
• • Female and male patients over the age of 18
• • Participants speaking English language and having mental capacity to consent
• • Suitable to undergoing cardiac surgery at ICHT.
• • Family Members/Friends
• • Nominated by the participant.
• • Be willing to record videos and participate in the study.
• • Healthcare professionals
• • - Critical Care Nurses that have provided direct care to at least one patient who received the study intervention
• • EXCLUSION CRITERIA
• • Patients
• • Female and male patients under the age of 18
• • Unable to consent to the study pre-operatively
• • Significant hearing/visual impairment
• • Participants with learning disabilities, pre-existing delirium, dementia or other significant underlying cognitive morbidity
• • Moribund participants, likely to die in the next 24 hours
• • Participants that do not speak English language
• • Family Members/Friends
• • Refuse to consent or gain assent
• • Significant hearing/visual impairment
• • Family members/friends that do not speak English language
• • Healthcare professionals
• • Critical care nurses that have not been involved in the implementation of the intervention
• • Refuse to consent or gain assent
• • Significant hearing/visual impairment and non-English speaking
• WITHDRAWAL CRITERIA:
• • Participants
• • No longer willing to participate after consent
• • Personal consultee wishing to withdraw participants from the study
• • Patients that the clinical and/or research team deem too distressed to continue participating in the study
• • Patients who have lost the capacity to participate in the study after hospital discharge