Trial reportIntensive care medicine2012
How to implement monitoring tools for sedation, pain and delirium in the intensive care unit: an experimental cohort study.
Trial report in Intensive care medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit.Intensive care medicine · 2024Guideline
- Developing delirium best practice: a systematic review of education interventions for healthcare professionals working in inpatient settings.European geriatric medicine · 2020Pooled it
- A systematic review of implementation strategies for assessment, prevention, and management of ICU delirium and their effect on clinical outcomes.Critical care (London, England) · 2015Pooled it
- Evidence and consensus based guideline for the management of delirium, analgesia, and sedation in intensive care medicine. Revision 2015 (DAS-Guideline 2015) - short version.German medical science : GMS e-journal · 2015Guideline
- The Impact of Pain Assessment on Critically Ill Patients' Outcomes: A Systematic Review.BioMed research international · 2015Pooled it
- Effectiveness of an intensive care telehealth programme to improve process quality (ERIC): a multicentre stepped wedge cluster randomised controlled trial.Intensive care medicine · 2023Trial
- Effects of pain, sedation and delirium monitoring on clinical and economic outcome: A retrospective study.PloS one · 2020Trial
- Optimising pain management in intensive care setting: Insights from a realist evaluation.International journal of nursing studies advances · 2026Review
- Implementation of Evidence-Based International Recommendations Reduces Postoperative Delirium Rate in Patients Undergoing Cardiac Surgery or Interventions: A System-Based Quality Improvement Study.Reviews in cardiovascular medicine · 2024Article
- Enhancing European Management of Analgesia, Sedation, and Delirium: A Multinational, Prospective, Interventional Before-After Trial.Neurocritical care · 2024Article
- Uncontrolled pain in critically ill patients and acute kidney injury: a hypothesis-generating cohort study.BMC nephrology · 2022Article
- A One-Day Prospective National Observational Study on Sedation-Analgesia of Patients with Brain Injury in French Intensive Care Units: The SEDA-BIP-ICU (Sedation-Analgesia in Brain Injury Patient in ICU) Study.Neurocritical care · 2022Observational
- Current Perspectives on the Assessment and Management of Pain in the Intensive Care Unit.Journal of pain research · 2021Review
- Pain, agitation and delirium assessment and management in a community medical-surgical ICU: results from a prospective observational study and nurse survey.BMJ open quality · 2018Article
- Quality indicators in intensive care medicine for Germany - third edition 2017.German medical science : GMS e-journal · 2017Review
- [Knowledge and implementation of the S3 guideline on delirium management in Germany].Der Anaesthesist · 2016Article
- Comfort and patient-centred care without excessive sedation: the eCASH concept.Intensive care medicine · 2016Review
- Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice.Acta anaesthesiologica Scandinavica · 2016Review
- A Review of Multifaceted Care Approaches for the Prevention and Mitigation of Delirium in Intensive Care Units.Journal of intensive care medicine · 2016Review
- Testing the implementation of an electronic process-of-care checklist for use during morning medical rounds in a tertiary intensive care unit: a prospective before-after study.Annals of intensive care · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSystematic monitoring of sedation, pain and delirium in the ICU is of paramount importance in delivering adequate patient care. While the use of systematic monitoring instruments is widely agreed upon, these tools are infrequently implemented into daily ICU care. The aim of this study is to compare the effectiveness of two different training strategies (training according to the local standard vs. modified extended method) on the implementation rate of scoring instruments on the ICU.
methodsIn this experimental cohort study we analyzed the frequency of scoring on three surgical ICUs before and after training, and in a 1 year follow-up. A modified extended training included establishing a local support team helping to resolve immediate problems. In addition we evaluated the impact on patients' outcome.
resultsICUs trained by the modified extended method showed increased documentation rates of all scores per patient and day. In a 1 year follow-up, increased scoring rates for all scores were maintained. Scoring rates with training according to the local standard training protocol did not increase significantly. Implementation of delirium and pain monitoring were associated with a decrease in mortality [odds ratio (OR) 0.451; 95 % confidence interval (CI): 0.22-0.924, and, respectively, OR 0.348; 95 % CI: 0.140-0.863]. Monitoring had no significant influence on ventilation time or ICU length of stay.
conclusionsA modified extended training strategy for ICU monitoring tools (sedation, pain, delirium) leads to higher intermediate and long-term implementation rates and is associated with improved patient outcome. However, these findings may have been biased by unmeasured confounders.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.