Virtual reality stimulation to reduce the incidence of delirium in critically ill patients: study protocol for a randomized clinical trial.
Background: Delirium has been long considered as a major contributor to cognitive impairments and increased mortality following a critical illness. Pharmacologic and non-pharmacologic strategies are used against delirium in the intensive care unit (ICU), despite these strategies remaining controvers...
| Publicado en: | Trials Vol. 22; no. 1; pp. 1 - 13 |
|---|---|
| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
BioMed Central
3/1/2021
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149023947&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149023947 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17456215 38OC jtl: Trials issn: 17456215 maglogo: N pubinfo: dt: 3/1/2021 vid: 22 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 149023947 149023947 NLM33648572 10.1186/s13063-021-05090-2 NLM33648572 149023947 ppf: 1 ppct: 12 formats: tig: atl: Virtual reality stimulation to reduce the incidence of delirium in critically ill patients: study protocol for a randomized clinical trial. aug: au: Naef, Aileen C. Jeitziner, Marie-Madlen Gerber, Stephan M. Jenni-Moser, Béatrice Müri, René M. Jakob, Stephan M. Nef, Tobias Hänggi, Matthias affil: Gerontechnology and Rehabilitation Group, University of Bern, Bern, Switzerland sug: subj: Delirium Epidemiology Delirium Prevention and Control Delirium Diagnosis Clinical Trials Critical Illness Incidence Intensive Care Units Critical Care Family Needs Inventory ab: Background: Delirium has been long considered as a major contributor to cognitive impairments and increased mortality following a critical illness. Pharmacologic and non-pharmacologic strategies are used against delirium in the intensive care unit (ICU), despite these strategies remaining controversial. Previous studies have shown the feasibility of using virtual reality within the ICU setting, and we propose to use this technology to investigate the effect of immersive virtual reality stimulation on the incidence of delirium in the ICU. Moreover, we propose to use motion sensors to determine if patient movement patterns can lead to early prediction of delirium onset.Methods: This study is conducted as a randomized clinical trial. A total of 920 critically ill patients in the ICU will participate. The control group will receive standard ICU care, whereas the intervention group will, in addition to the standard ICU care, receive relaxing 360-degree immersive virtual reality content played inside a head-mounted display with noise-cancelling headphones, three times a day. The first 100 patients, regardless of their group, will additionally have their movement patterns recorded using wearable and ambient sensors. Follow-up measurements will take place 6 months after discharge from the ICU.Discussion: Delirium is widely present within the ICU setting but lacks validated prevention and treatment strategies. By providing patients with virtual reality stimulation presented inside a head-mounted display and noise-cancelling headphones, participants may be isolated from disturbances on an ICU. It is believed that by doing so, the incidence of delirium will be decrease among these patients. Moreover, identifying movement patterns associated with delirium would allow for early detection and intervention, which may further improve long-term negative outcomes associated with delirium during critical care.Trial Registration: ClinicalTrials.gov NCT04498585 . Registered on August 3, 2020. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|