Management of PADIS in Emergency Intensive Care Unit

NCT06339385 | Completed DMC

• 1 other identifier: KY 2020-153-02
• Study Type: observational
• Target: 162
• Locations: 1 country
• Sites: 1

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\' 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.

Conditions

Pain; Agitation, Emergence; Delirium; Critical Illness

Keywords

Emergency Department Intensive Care Units; Prevalence; Survey; Practices

Outcome Measures

Primary Outcomes (1)

• PADIS assessment rate

  24 hours before enrollment

Secondary Outcomes (4)

• Rates of analgesic and sedative administration

  24 hours before enrollment

• Rate of accidental removal of the catheter during the EICU stay

  From the start of the survey day until transfer out of the EDICU or 60 days after the survey day.

• EDICU length of stay

  From the start of the survey day until transfer out of the EDICU or 60 days after the survey day.

• The hospital length of stay

  From the start of the survey day until transfer out of the EDICU or 60 days after the survey day.

Study Arms (1)

EDICU patients

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

Behavioral: PADIS assessment

Interventions

PADIS assessment BEHAVIORAL

Hospital and nursing records from the 24 hours preceding enrollment were examined to document the assessment rate of pain, agitation-sedation, and delirium.

EDICU patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• 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.

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Capital Medical University: lead
• Beijing Tiantan Hospital: collaborator
• The First Affiliated Hospital of Anhui Medical University: collaborator
• The First Affiliated Hospital of Dalian Medical University: collaborator
• Fudan University: collaborator
• Affiliated hospital of Guilin medical university,China: collaborator
• The Second Affiliated Hospital of Hainan Medical University: collaborator
• The First Hospital of Hebei Medical University: collaborator
• The First Hospital of Jilin University: collaborator
• Southwest Hospital, China: collaborator
• General hospital of shenyang military command: collaborator
• Beijing Anzhen Hospital: collaborator
• Mianyang Central Hospital: collaborator
• Tianjin Medical University General Hospital: collaborator
• The First Affiliated Hospital of Zhengzhou University: collaborator
• The Jiangxi Provincial People's Hospital: collaborator

Study Sites (1)

Beijing Tiantan hospital

Beijing, Beijing Municipality, 100070, China

Location

MeSH Terms

Conditions

Pain; Emergence Delirium; Delirium; Critical Illness

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Confusion; Neurobehavioral Manifestations; Nervous System Diseases; Postoperative Complications; Pathologic Processes; Neurocognitive Disorders; Mental Disorders; Disease Attributes

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 25, 2024
• First Posted: April 1, 2024
• Study Start: June 13, 2021
• Primary Completion: August 12, 2021
• Study Completion: August 12, 2021
• Last Updated: April 2, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)