Implementation of a Delirium Screening

University of Miami

Overview

The purpose of this project is to improve patient outcomes in individuals affected by cancer, through the implementation of a delirium screening and treatment protocol in the ICU setting. The hypothesis is that patients who receive an accurate and early diagnosis of delirium coupled with a standardized intervention protocol will demonstrate improved patient outcomes as evidenced by fewer days spent in the ICU, fewer days spent in the hospital (overall length of stay) and the need for less sedative medication throughout their ICU stay as compared to patient data prior to the implementation of a delirium protocol.

Study Type

INTERVENTIONAL

Allocation

Purpose

DIAGNOSTIC

Masking

NONE

Conditions

Delirium Cancer Bone Marrow Ablation

Interventions

Delirium ScreenBEHAVIORAL

Patients who screen positive for delirium will be assessed for pain, electrolyte imbalances,infection, the use of deliriogenic medications and any issues will be resolved. Those with persistent delirium following all other intervention will be treated with antipsychotic medication.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients will be included into the study who: * Are over 18 years old * Speak and read English * Are admitted to the Sylvester Comprehensive Cancer Center intensive care unit in the first 60 days following implementation of the delirium protocol; approximately 10 patients per month. * Patient data via electronic medical record (EMR) for all patients who were admitted to the Sylvester Comprehensive Cancer Center intensive care unit up to 60 days prior to the implementation of the delirium protocol. Exclusion Criteria: * This study will exclude: * Patients who are unable to speak and read English * Patients who are unable to provide written consent to participate. * Patient data via EMR for any patients who were admitted to the Sylvester Comprehensive Cancer Center intensive care unit prior to 60 days before to the implementation of the delirium protocol.

Outcomes

Primary Outcomes

ICU Length of Stay (LOS)

Patient's length of stay in the ICU

Time frame: 60 days

Secondary Outcomes

Overall LOS in hospital

Patient's length of stay in hospital

Time frame: 60 days

Sedation Medication

Total amount of sedating medication given to patient during their hospitalization.

Time frame: 60 days

Data from ClinicalTrials.gov

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