Agitation Follow up After Introduction of a New Patient Care Algorithm

University Hospital, Grenoble138 enrolled

Overview

Agitation in the intensive care unit is motor hyperactivity. It is frequent (b/w 30% to 70%) and has multiple causes: pain, medical reason, delirium, medication, etc. It can be a source of complication, for the patient, and equipment pullout. International recommendations state that the agitation should be taken care of with standardized protocols to improve patient care.

Data regarding patient characteristics and evaluation criterion will be collected automatically with the unit software (CCC, General Electrics) in specific file. Care and health teams enter the data systematically following the usual protocol. First Step : Follow-up and collection of data of patients included. Agitation evaluation with RASS scale, pain evaluation with BPS or NPRS. Second Step: Team training to delirium evaluation scale (CAM-ICU) and to the use of care algorithm. Third Step: Follow-up and collection of data of patients included. Use of care algorithm by doctors, nurses and back up training nurse to ensure daily information to health professionals of the care unit. Concomitant Step: Post discharge from care unit medical appointment to evaluate anxiety symptoms (HAD scale) and quality of life (SF-12)

Study Type

OBSERVATIONAL

Enrollment

138

Conditions

Agitation,Psychomotor

Interventions

Implementation of agitation care algorithmOTHER

Following the agitation care algorithm care professional adapt their behavior regarding agitation

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient presenting an agitation episode (RASS\>1) * Intensive care unit hospitalization * Patient or next of kin if patient not able non opposed on participating to the study Exclusion Criteria: * Decision to limit life-sustaining therapy * Brain damage * Moribund patient * Patient participating to another trial excluding observational studies * The patient is pregnant or a lactating female * Patient under tutorship or curatorship and liberty deprived

Locations (1)

Grenoble University Hospital

Grenoble, France

Outcomes

Primary Outcomes

RASS scale evaluation between phase "before" and phase "after"

Comparison of the duration of agitation between phase "before" and phase "after"

Time frame: at the end of each phase, average of 1 year

Data from ClinicalTrials.gov

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