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Decreasing Delirium in Critically Ill Older Adults Through Music

Overview

About this study

The purpose of this study is to evaluate the effectiveness of a seven-day slow-tempo music intervention on the primary outcome of delirium/coma free days among mechanically ventilated, critically ill older adults.

Critically ill older adults admitted to the intensive care unit (ICU) are at a higher risk to develop delirium, which predisposes them to longer lengths of ICU and hospital stay, increased in-patient mortality, and higher risk of new acquired cognitive impairment and dementia. Music listening is a non-pharmacological intervention that holds potential to decrease ICU delirium.

 

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Age 50 years or older.
  • English speaking.
  • Admitted to the intensive care unit (medical or surgical).
  • Expected mechanical ventilator support for ≥ 48 hours.
  • Consentable through a legally authorized representative.
  • Have access to a telephone (after discharge).

Exclusion Criteria:

  • History of dementing illnesses and other neurodegenerative diseases such as Alzheimer’s disease or vascular dementia.
  • Psychiatric illness which is not well controlled.
  • Alcohol withdrawal symptoms/concern for withdrawal.
  • Suspected or confirmed drug intoxication/overdose.
  • Traumatic brain injury, ischemic or hemorrhagic cerebrovascular accident, or undergoing neurosurgery.
  • Uncorrected hearing or vision impairment including legal blindness.
  • Incarcerated at the time of study enrollment.
  • Enrolled in another clinical trial which does not permit co-enrollment.
  • Any medical condition precluding safe use of headphones such as:  skin breakdown, burns, facial or skull fractures.
  • COVID-19 positive test.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Linda Chlan, Ph.D., R.N.

Closed-enrolling by invitation

What is this? (?)
"Close"
Not open to everyone who meets the eligibility criteria, but only those invited to participate by the study team.

Contact information:

Division of Nursing Research Study Team

(507) 422-5523

rstnursingresearch@mayo.edu

More information

Publications

Publications are currently not available

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