Sedation Influence on Delirium and Post-traumatic Stress-disorder as a Result of Hospitalization in Intensive Care

Last updated: October 19, 2012
Sponsor: University of Aarhus
Overall Status: Completed

Phase

N/A

Condition

Post-traumatic Stress Disorders

Dementia

Treatment

N/A

Clinical Study ID

NCT01291368
1-16-02-50-09
  • Ages > 18
  • All Genders

Study Summary

The aim of this study is to investigate if sedation of Intensive Care Unit (ICU) patients influences the development of delirium during their ICU stay and if incidences of delirium have an impact on the development of Post-traumatic Stress-Disorder (PTSD).

Hypothesis 1:

Patients who are minimally sedated, remember staying in ICU and experiences fewer episodes of delirium than patients that are heavily sedated

Hypothesis 2:

Former delirious patients are more likely to develop PTSD

Hypothesis 3:

Delirium decreases health-related quality (HRQoL) of life after discharge

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • ICU-stay > 48 hours

Exclusion

Exclusion Criteria:

  • Severe brain trauma

  • Non-Danish-speaking

  • Age < 18 years

  • Death (only hypothesis 2 and 3 in the study)

Study Design

Total Participants: 248
Study Start date:
September 01, 2009
Estimated Completion Date:
February 29, 2012

Study Description

Background:

It is known that ICU patients that experience delirium have longer hospital stay, higher mortality and morbidity. Other studies indicate that PTSD, dementia or depression may emerge after discharge from hospital.

Methods according to hypothesis 1:

During ICU stay: Measure sedation level & delirium. First follow-up 1-2 weeks after ICU: Memories

Analyses:

Data will be analyzed descriptive via EPIDATA and Stata Delirium is endpoint, defined as CAM-ICU positive. Sedation level is exposure variable.

Confounders: priory antipsychotic treatment or hypertension,glasses or hearing aids,alcohol and tobacco abuse,degree of illness,age and sex.

Correlation between sedation level and memories will be calculated.

Methods according to hypothesis 2:

Screening for: PTSD, Depression, Anxiety

Analyses:

PTSD is endpoint, and delirium is the exposure variable. Main confounders: Anxiety and Depression Mean of PTSD will be calculated with Confidence Interval to test any difference between experienced delirium or not.

Methods according to hypothesis 3:

Method:Health-related quality of life is endpoint, Activities of daily living (ADL), Memories, and a Script Test (only after 2 month)

Analyses:

Mean of HRQoL will be calculated with Confidence Interval to test any difference between experienced delirium or not.

Confounders: Diary and/or Follow up

Connect with a study center

  • Aarhus University Hospital, Århus Sygehus

    Aarhus, 8000
    Denmark

    Site Not Available

  • Anæstesiologisk Afdeling, . Hillerød Hospital

    Hillerød, 3400
    Denmark

    Site Not Available

  • Anæstesiologisk Afdeling, . Hillerød Hospital

    Hillerød, 3400
    Denmark

    Site Not Available

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