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Mortality and HRQoL in ICU patients with delirium : Protocol for 1-year follow-up of AID-ICU trial

Title: Mortality and HRQoL in ICU patients with delirium : Protocol for 1-year follow-up of AID-ICU trial
Authors: Mortensen, Camilla B.; Poulsen, Lone M.; Andersen-Ranberg, Nina C.; Perner, Anders; Lange, Theis; Estrup, Stine S.; Ebdrup, Bjorn H.; Egerod, Ingrid; Rasmussen, Bodil S.; Hästbacka, Johanna; Caballero, Jesus; Citerio, Giuseppe; Morgan, Matthew P. G.; Samuelson, Karin; Mathiesen, Ole
Contributors: Clinicum; HUS Perioperative, Intensive Care and Pain Medicine; Anestesiologian yksikkö; HUS Shared Group Services
Publisher Information: Blackwell Munksgaard
Publication Year: 2020
Collection: Helsingfors Universitet: HELDA – Helsingin yliopiston digitaalinen arkisto
Subject Terms: QUALITY-OF-LIFE; MECHANICALLY VENTILATED PATIENTS; SURVIVAL; HALOPERIDOL; PREDICTOR; RISK; Surgery; anesthesiology; intensive care; radiology
Description: Background Intensive care unit (ICU)-acquired delirium is frequent and associated with poor short- and long-term outcomes for patients in ICUs. It therefore constitutes a major healthcare problem. Despite limited evidence, haloperidol is the most frequently used pharmacological intervention against ICU-acquired delirium. Agents intervening against Delirium in the ICU (AID-ICU) is an international, multicentre, randomised, blinded, placebo-controlled trial investigates benefits and harms of treatment with haloperidol in patients with ICU-acquired delirium. The current pre-planned one-year follow-up study of the AID-ICU trial population aims to explore the effects of haloperidol on one-year mortality and health related quality of life (HRQoL). Methods The AID-ICU trial will include 1000 participants. One-year mortality will be obtained from the trial sites; we will validate the vital status of Danish participants using the Danish National Health Data Registers. Mortality will be analysed by Cox-regression and visualized by Kaplan-Meier curves tested for significance using the log-rank test. We will obtain HRQoL data using the EQ-5D instrument. HRQoL analysis will be performed using a general linear model adjusted for stratification variables. Deceased participants will be designated the worst possible value. Results We expect to publish results of this study in 2022. Conclusion We expect that this one-year follow-up study of participants with ICU-acquired delirium allocated to haloperidol vs. placebo will provide important information on the long-term consequences of delirium including the effects of haloperidol. We expect that our results will improve the care of this vulnerable patient group. ; Peer reviewed
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: The AID-ICU trial is partly funded by the Innovation Foundation Denmark, the Regional Medicines Foundation, the Research Foundation of Region Zealand, the Intensive Care Symposium Hindsgavl and Foghts Foundation. Finally, Zealand University Hospital, Department of Anesthesiology guarantees the salary of primary investigator of the follow up study (CBEM). The funding parties had no influence on the study design or reporting of data.; https://hdl.handle.net/10138/320669; 000559899200001
Availability: https://hdl.handle.net/10138/320669
Rights: cc_by ; info:eu-repo/semantics/openAccess ; openAccess
Accession Number: edsbas.BDB7EFF3
Database: BASE