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Awakening-Breathing Coordination, Delirium Monitoring/Management & Early Mobility (ABCDE) Protocol
Awakening-Breathing Coordination, Delirium Monitoring/Management & Early Mobility (ABCDE) Protocol

NCT01413009

CompletedN/A

Sponsor: University of Nebraska

Conditions: ICU Delirium, Immobility

Countries: United States

Fully two-thirds of ICU patients develop delirium, which is associated with longer stays, billions of dollars in costs globally, and 3-fold excess mortality at 6 months. Over one-half of ICU survivors suffer a functionally debilitating dementia-like illness, which appears related to delirium duration. This study will focus on applying Awakening-Breathing Coordination, Delirium Monitoring/Management \& Early Mobility (ABCDE), a program of delirium screening, prevention, and treatment developed at Vanderbilt University. Specifically, the study will implement the ABCDE program in a medical center that does not currently perform routine ICU delirium screenings and identify facilitators and barriers to program adoption; test the impact of the ABCDE program on patient outcomes, nursing quality outcomes, and system outcomes; and assess the extent to which ABCDE implementation is effective, sustainable, and conducive to dissemination into other settings.

Eligibility overview

Sex: ALL

Age: 19 Years to

Healthy volunteers: No

Study type: OBSERVATIONAL

Eligibility criteria
Inclusion Criteria:

* Greater than or equal to 19 years of age
* Patients at the University of Nebraska Medical Center and the Nebraska Medical Center
* Admitted to either the academic medical or trauma critical care service

Exclusion Criteria:

* Legally authorized representative not available to provide consent to participate within 48 hours of ICU admission
Locations (1)
  • Omaha, Nebraska, United States