Hemodynamics, fluids & transfusion
Effect of a music intervention on anxiety in adult critically ill patients: a multicenter randomized clinical trial
Authors' conclusion
Anxiety levels in this ICU population were low, and music during 3 days did not decrease anxiety.
Study context
- Population
- Adult critically ill intensive care unit (ICU) patients, hemodynamically stable and able to communicate (Richmond agitation-sedation scale (RASS) of at least - 2)included in primary analysis
- Participants
- 94 patients
- Comparison
- Music intervention vs standard care
- Primary endpoint
- Anxiety level (VAS-A; range 0-10), assessed twice daily (morning and evening)
Methodological detailsmulticentre, August 2020 to December 2021; academic medical centre and two regional hospitals
- Multicentre
- August 2020 to December 2021; academic medical centre and two regional hospitals
Primary result
As reported in the abstract
VAS-A · Days 1, 2 and 3
| Group | Value | Day 1 | Day 2 | Day 3 |
|---|---|---|---|---|
| Music | 2.5 (IQR 1.0–4.5) | 2.5 (IQR 1.0-4.5) | 1.8 (0.0-3.6) | 2.5 (0.0-3.6) |
| Standard care | 3.0 (IQR 0.6–4.0) | 3.0 (0.6-4.0) | 1.5 (0.0-4.0) | 2.0 (0.0-4.0) |
Value
Music2.5 (IQR 1.0–4.5)
Standard care3.0 (IQR 0.6–4.0)
Day 1
Music2.5 (IQR 1.0-4.5)
Standard care3.0 (0.6-4.0)
Day 2
Music1.8 (0.0-3.6)
Standard care1.5 (0.0-4.0)
Day 3
Music2.5 (0.0-3.6)
Standard care2.0 (0.0-4.0)
- Music vs Standard care: P > 0.92 — music did not significantly reduce anxiety
Secondary outcomes
| Outcome | Music | Standard care | P value |
|---|---|---|---|
| Patients requiring opioids | 21 events | 29 events | P = 0.03 |
| Sleep quality · study day oneSleep quality reported as lower in the music group | 5.0 (IQR 4.0–6.0) | 4.5 (IQR 3.0–5.0) | P = 0.03 |
Other secondary outcomes (state-trait anxiety inventory (STAI-6), delirium, HR, MAP, pain, RASS, ICU LOS, memory and experience)
- Similar between groups
Original publication
Effect of a music intervention on anxiety in adult critically ill patients: a multicenter randomized clinical trial. J Intensive Care. Published 17 August 2023. doi:10. 1186/ s40560-023-00684-1
Composed by AI from the published abstract and checked against it. How Briefs are made →