Hemodynamics, fluids & transfusion

Effect of a music intervention on anxiety in adult critically ill patients: a multicenter randomized clinical trial

J Intensive CarePublished Randomised controlled 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
GroupValueDay 1Day 2Day 3
Music2.5 (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 care3.0 (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

OutcomeMusicStandard careP value
Patients requiring opioids21 events29 eventsP = 0.03
Sleep quality · study day oneSleep quality reported as lower in the music group5.0 (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 →

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