Evidence map›Paper›PMID 36385466›Full record

Trial reportCanadian journal of anaesthesia = Journal canadien d'anesthesie2023

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

Kirsten Deemer, Brittany Myhre, Stephanie Oviatt, Michelle Parsons, Mallory Watson, Karolina Zjadewicz, Andrea Soo, Kirsten Fiest, Juan Posadas-Calleja

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
0.8field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT03604809 nacompletednot on this map

Guided Occupational Therapist Cognitive Interventions in Critically Ill Patients

TypeinterventionalSponsorAlberta Health Services, CalgaryRan2019 to 2020Enrolled70ConditionsDeliriumArmsOT Guided Cognitive Interventions
NCT06115863 nacompletednot on this map

Effect of Early Cognitive Stimulation Interventions on Delirium Among Critically Ill Patients

TypeinterventionalSponsorDamanhour UniversityRan2023 to 2025Enrolled130ConditionsDeliriumArmsEarly Cognitive Stimulation Interventions
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Kirsten DeemerDepartment of Critical Care Medicine, Alberta Health Services, South Health Campus ICU, Office 150064, 4448 Front Street, Calgary, AB, T3M 1M4, Canada. kirsten.deemer@ahs.ca.ORCID http://orcid.org/0000-0002-3674-3522
Brittany MyhreDepartment of Critical Care Medicine, Alberta Health Services, South Health Campus ICU, Office 150064, 4448 Front Street, Calgary, AB, T3M 1M4, Canada.
Stephanie OviattDepartment of Critical Care Medicine, Alberta Health Services, South Health Campus ICU, Office 150064, 4448 Front Street, Calgary, AB, T3M 1M4, Canada.
Michelle ParsonsDepartment of Critical Care Medicine, Alberta Health Services, South Health Campus ICU, Office 150064, 4448 Front Street, Calgary, AB, T3M 1M4, Canada.
Mallory WatsonAlberta Health Services, South Health Campus ICU, Calgary, AB, Canada.
Karolina ZjadewiczAlberta Health Services, Foothills Hospital, Calgary, AB, Canada.
Andrea SooDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Kirsten FiestDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Juan Posadas-CallejaDepartment of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Alberta Health Services · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntensive care unit (ICU) delirium is a common complication of critical illness requiring a multimodal approach to management. We assessed the feasibility of a novel occupational therapist (OT)-guided cognitive intervention protocol, titrated according to sedation level, in critically ill patients.

methodsPatients aged ≥ 18 yr admitted to a medical/surgical ICU were randomized to the standard delirium prevention protocol or to the OT-guided cognitive intervention protocol in addition to standard of care. The target enrolment number was N = 112. Due to the COVID-19 pandemic, the study enrolment period was truncated. The primary outcome was feasibility of the intervention as measured by the proportion of eligible cognitive interventions delivered by the OT. Secondary outcomes included feasibility of goal session length (20 min), participant clinical outcomes (delirium prevalence and duration, cognitive status, functional status, quality of life, and ICU length of stay), and a description of methodological challenges and solutions for future research.

resultsSeventy patients were enrolled and 69 patients were included in the final analysis. The majority of OT-guided sessions (110/137; 80%) were completed. The mean (standard deviation [SD]) number of sessions per patient was 4.1 (3.8). The goal session length was achieved (mean [SD], 19.8 [3.1] min), with few sessions (8/110; 7%) terminated early per patient request.

conclusionThis novel OT-guided cognitive intervention protocol is feasible in medical/surgical ICU patients. A larger randomized controlled trial is required to determine the impact of such a protocol on delirium prevalence or duration. STUDY REGISTRATION: www. CLINICALTRIALS: gov (NCT03604809); registered 18 June 2018.

Indexed as

COVID-19DeliriumCognitionCritical IllnessFeasibility StudiesHumansIntensive Care UnitsOccupational TherapistsPandemicsQuality of Lifecognitive interventioncritical caredeliriumintensive care unitoccupational therapy

Identifiers

PMID36385466
PMCPMC9668395
OpenAlexW4309347208

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.