Delirium in the (Neuro)Intensive/Critical Care in the Adult and Paediatric Czech Populations

Status: Recruiting
Intervention Type: Diagnostic test
Study Type: Observational
SUMMARY

Intensive and critical care in the intensive care unit (ICU) is often associated with ICU delirium and post-ICU dementia, regardless of the nature of the primary disease or insult. Optimal practical management of ICU delirium including its screening, prevention, and treatment, is an integral part of the current recommendations for optimal ICU care, but there are large gaps in the knowledge about the optimal and most effective prevention and treatment of this complication. Information on the actual implementation of these recommendations in the Czech Republic is lacking. The diagnosis of delirium is particularly challenging in neurointensive care patients (due to overlap with symptoms of primary brain lesions) and in a paediatric population. A complementary multicentre observational 4-year follow-up study, performed in an adult neurointensive/critical care stroke cohort and in a paediatric intensive/critical care cohort in centres following currently recommended preventive measures (Delusion-deep-cz) will investigate the incidence of ICU delirium and post-ICU dementia and their modifiable and non-modifiable predisposing and precipitating risk factors. Objectives are to determine the optimal methods for diagnostic screening of these complications and for the differential diagnosis of conditions mimicking delirium (non-convulsive epileptic state) or symptoms hindering its diagnosis (aphasia), and to study the association between sleep disturbances and ICU delirium to verify the role of sleep in the pathophysiology of delirium.

Eligibility
Participation Requirements
Sex: All
Healthy Volunteers: f
View:

• Neurointensive/neurocritical group (N-ICU): patients with acute ischaemic or haemorrhagic stroke admitted to the Stroke Unit or ICU of the Department of Neurology, University Hospital Brno (NK-UHB).

• Paediatric intensive/critical group (P-ICU): children aged 6-18 years, admitted to the Paediatric ICU - Department of Paediatric Anaesthesiology and Intensive Care (KDAR-UHB) with a stay of at least 24 hours (including postoperative care).

Contact Information
Primary
Josef Bednařík, prof. MD, CSc.
bednarik.josef@fnbrno.cz
532231481
Backup
Lucia Bakošová, MD
bakosova.lucia@fnbrno.cz
532232503
Time Frame
Start Date: 2023-09-07
Estimated Completion Date: 2027-12
Participants
Target number of participants: 700
Treatments
Neurointensive/neurocritical group (N-ICU)
Paediatric intensive/critical group (P-ICU)
Related Therapeutic Areas
Sponsors
Collaborators: Brno University Hospital, University Hospital, Motol
Leads: Masaryk University

This content was sourced from clinicaltrials.gov