ICU sedation, delirium & recovery

Occupational therapist-guided cognitive interventions in critically ill patients: a feasibility randomized controlled trial

Can J AnaesthPublished Feasibility randomised controlled trial

Authors' conclusion

This novel OT-guided cognitive intervention protocol is feasible in medical/surgical ICU patients.

Study context

Population
Patients aged ≥ 18 yr admitted to a medical/surgical intensive care unit (ICU)69 analysed
Participants
70 patients
Comparison
Occupational therapist (OT)-guided cognitive intervention protocol plus standard of care vs standard delirium prevention protocol
Primary endpoint
Feasibility: proportion of eligible cognitive interventions delivered by the OT
Methodological detailsenrolment truncated (COVID-19 pandemic), Target enrolment N = 112; enrolment truncated due to the COVID-19 pandemic
  • Enrolment truncated (COVID-19 pandemic)
  • Target enrolment N = 112; enrolment truncated due to the COVID-19 pandemic

Primary result

As reported in the abstract

Proportion of eligible OT-guided cognitive intervention sessions delivered (feasibility)

OT-guided sessions completed

110/137; 80%

Secondary outcomes

Number of sessions per patient

Number of sessions per patient, mean (SD)
4.1 (3.8)

Session length (goal 20 min)

Goal session length achieved, mean [SD], min
19.8 [3.1]
Sessions terminated early per patient request
8/110; 7%

Original publication

Occupational therapist-guided cognitive interventions in critically ill patients: a feasibility randomized controlled trial. Can J Anaesth. Published 16 November 2022. doi:10.1007/s12630-022-02351-9

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