Clinical trial NCT06339385: Management of PADIS in Emergency Intensive Care Unit
Official title: Management of Pain, Agitation-sedation, Delirium Immobility and Sleep Disruption in Emergency Intensive Care Unit: a Multicenter Cross-sectional Survey
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Pain
Agitation, Emergence
Delirium
Critical Illness
Keywords: Emergency Department Intensive Care Units
Prevalence
Survey
Practices
Lead sponsor: Capital Medical University
Sponsor class: OTHER
Collaborators: name: Beijing Tiantan Hospital
name: The First Affiliated Hospital of Anhui Medical University
name: The First Affiliated Hospital of Dalian Medical University
name: Fudan University
name: Affiliated hospital of Guilin medical university,China
name: The Second Affiliated Hospital of Hainan Medical University
name: The First Hospital of Hebei Medical University
name: The First Hospital of Jilin University
name: Southwest Hospital, China
name: General hospital of shenyang military command
name: Beijing Anzhen Hospital
name: Mianyang Central Hospital
name: Tianjin Medical University General Hospital
name: The First Affiliated Hospital of Zhengzhou University
name: The Jiangxi Provincial People's Hospital
First posted: 2024-04-01
Enrollment: 162
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: All patients admitted to the participating EDICU during the on-site investigation were eligible for enrollment in this study. However, patients meeting the following criteria were excluded: 1) age less than 18 years; 2) EDICU stay duration before the screening was less than 24 hours; 3) enrollment in other concurrent trials.

Brief summary: Investigate the prevalence of PADIS in EICU, as well as the awareness and clinical implementation status of medical staff towards PADIS.

The investigators conducted a multicenter cross-sectional survey in mainland China, including a one-day point prevalence investigation and a questionnaire survey. The inclusion criteria encompassed all adult patients admitted to the participating emergency department intensive care units (EDICUs) during the on-site screening, while exclusion criteria comprised patients aged less than 18 years, EDICU stays duration less than 24 hours before the screening, and participation in other concurrent trials. Hospital and nursing records from the 24 hours preceding enrollment were examined to document the assessment rate of pain, agitation-sedation, and delirium. Physicians and nurses on duty 24 hours before the patients\&#39; enrollment was invited to complete the questionnaire survey regarding the ICU profiles, professional expertise, assessment and treatment of PAD, early mobilization, and sleep improvement practices.


Eligibility criteria: Inclusion Criteria:

* All patients admitted to the participating EDICU during the on-site investigation

Exclusion Criteria:

* Age less than 18 years;
* EDICU stay duration before the screening was less than 24 hours
* Enrollment in other concurrent trials.

Primary outcomes:
measure: PADIS assessment rate
timeFrame: 24 hours before enrollment
Secondary outcomes:
measure: Rates of analgesic and sedative administration
timeFrame: 24 hours before enrollment
measure: Rate of accidental removal of the catheter during the EICU stay
timeFrame: From the start of the survey day until transfer out of the EDICU or 60 days after the survey day.
measure: EDICU length of stay
timeFrame: From the start of the survey day until transfer out of the EDICU or 60 days after the survey day.
measure: The hospital length of stay
timeFrame: From the start of the survey day until transfer out of the EDICU or 60 days after the survey day.
Other outcomes:
Locations:
city: Beijing
country: China
facility: Beijing Tiantan hospital
state: Beijing
Study officials:
References: