DELIRIUM SCREENING, INCIDENCE AND MANAGEMENT OBSERVATIONAL STUDY IN 2024 - THE CZECH REPUBLIC

Study Overview
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Brief Summary
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Delirium in intensive care unit (ICU) settings is a frequent complication with reported prevalence of 31%. Recent data has revealed the connection between delirium and increased 30days mortality after hospital release and the higher incidence of readmission to emergency. Despite the high prevalence and well described validation methods for screening, the precise incidence remains unclear due to insufficient screening in ICU settings. The incidence of delirium in Czech Republic remains undescribed, beside data reported from neurointensive care patients and single-center general critically ill patients data.

Detailed Description
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All patients fulfilling inclusion criteria in intensive care settings in involved ICUs in Czech Republic will be included into the study. Data will be recorded for 1 consequent month. Basic demography will be evaluated. In each patient standard delirium screening based on the institutional ICU rules will be performed. If no screening method were set,Confusion Assessment Method - CAM-ICU for adult and pediatric Confusion Assessment Method -pCAM-ICU for pediatric patients would be used together with delirium management, restrain procedures, sedative/neuroleptics administration, 28-days mortality. All data will be recorded into to predefined eCRF.

Official Title
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DELIRIUM SCREENING, INCIDENCE AND MANAGEMENT OBSERVATIONAL STUDY IN 2024 - THE CZECH REPUBLIC

Conditions
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Delirium

Intervention / Treatment
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* Diagnostic Test: CAM-ICU
* Diagnostic Test: pCAM-ICU


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients in ICU settings in defined time interval of the study Exclusion Criteria: duration of ICU stay shorter than 24 hours
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Adult ICU patients<br>Adult patients in ICU setting | Diagnostic Test: CAM-ICU<br>* Delirium in adult patients will be screened according to CAM-ICU<br>* Other names: delirium screening;|
| Pediatric ICU patients<br>Pediatric patients in ICU setting | Diagnostic Test: pCAM-ICU<br>* Delirium in adult patients will be screened according to pCAM-ICU<br>* Other names: delirium screening;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Delirium prevalence | Delirium prevalence by CAM-ICU and pCAM-ICU will be screened in defined time interval | during 30 days after study initiation in selected ICU | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Delirium management | Management of delirium will be evaluated | during 30 days after study initiation in selected ICU | 
| Inhospital mortality | Inhospital mortality will be evaluated | during 30 days after study initiation in selected ICU | 
| 28-days mortality | 28-days mortality will be evaluated | after patient inclusion into the study | 
| 90-days mortality | long term mortality will be evaluated | after patient inclusion into the study | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Delirium, Screening, Therapy, CAM-ICU