Evidence map›Paper›PMID 38867317›Full record

ArticleTrials2024

Generalized music therapy to reduce neuroactive drug needs in critically ill patients. Study protocol for a randomized trial.

Giovanni Mistraletti, Anna Solinas, Silvia Del Negro, Carlotta Moreschi, Stefano Terzoni, Paolo Ferrara, Katerina Negri, Davide Calabretta, Paolo Formenti, Angelo Formenti and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03280329 (Music Therapy in the ICU as a Tool to Reduce Neuroactive Drugs), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03280329 naunknown statusnot on this map

Music Therapy in the ICU as a Tool to Reduce Neuroactive Drugs: Generalized Versus Personalized Intervention

TypeinterventionalSponsorUniversity of MilanRan2017 to 2018Enrolled153ConditionsCritical Illness, Hypnotics and Sedatives, Music TherapyArmsGeneralized Music therapy, Personalized Music therapy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

11 authors.

Giovanni MistralettiDipartimento Di Fisiopatologia Medico-Chirurgica E Dei Trapianti, Università Degli Studi Di Milano, Milan, Italy. giovanni.mistraletti@unimi.it.ORCID http://orcid.org/0000-0001-8322-1623
Anna SolinasDipartimento Di Salute Mentale, AUSL Piacenza, Piacenza, Italy.
Silvia Del NegroDipartimento Di Scienze Della Salute, Università Degli Studi Di Milano, Milan, Italy.
Carlotta MoreschiDipartimento Di Scienze Della Salute, Università Degli Studi Di Milano, Milan, Italy.
Stefano TerzoniDipartimento Di Scienze Della Salute, Università Degli Studi Di Milano, Milan, Italy.
Paolo FerraraDipartimento Di Scienze Della Salute, Università Degli Studi Di Milano, Milan, Italy.
Katerina NegriDipartimento Di Fisiopatologia Medico-Chirurgica E Dei Trapianti, Università Degli Studi Di Milano, Milan, Italy.
Davide CalabrettaDipartimento Di Fisiopatologia Medico-Chirurgica E Dei Trapianti, Università Degli Studi Di Milano, Milan, Italy.
Paolo FormentiSC Anestesia, Rianimazione e Terapia Intensiva; ASST Nord Milano, Ospedale Bassini, Cinisello Balsamo, Italy.
Angelo FormentiCentro Sperimentale Regionale Della Voce E Della Deglutizione "E. De Amicis", Milan, Italy.
Michele UmbrelloSC Rianimazione e Anestesia, Ospedale Civile di Legnano, ASST Ovest Milanese, Milan, Italy.ORCID http://orcid.org/0000-0003-4356-3543

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCritically ill patients are exposed to several physical and emotional stressors, needing analgesic and sedative drugs to tolerate invasive procedures and the harsh intensive care unit (ICU) environment. However, this pharmacological therapy presents several side effects: guidelines suggest using a light sedation target, keeping critically ill patients calm, conscious, and cooperative. Personalized music therapy (MT) can reduce stress and anxiety, decreasing the need for drugs. The aim of the current investigation is to compare different approaches for MT in the ICU: a personalized approach, with music selected by patients/families and listened through headphones, or a generalized approach, with ambient music chosen by a music therapist and transmitted through speakers. PRIMARY OUTCOME: number of days "free from neuroactive drugs" in the first 28 days after ICU admission. SECONDARY OUTCOMES: total amount of neuroactive drugs (midazolam, propofol, morphine, fentanyl, haloperidol), stress during ICU stay (sleep at night, anxiety and agitation, use of physical restraints, stressors evaluated at discharge), the feasibility of generalized MT (interruptions requested by staff members and patients/families).

methodsRandomized, controlled trial with three groups of critically ill adults: a control group, without MT; a personalized MT group, with music for at least 2 h per day; a generalized MT group, with music for 12.5 h/day, subdivided into fifteen 50-min periods. DISCUSSION: One hundred fifty-three patients are expected to be enrolled. This publication presents the rationale and the study methods, particularly the strategies used to build the generalized MT playlist. From a preliminary analysis, generalized MT seems feasible in the ICU and is positively received by staff members, critically ill patients, and families.

trial registrationClinicalTrials.gov Identifier: NCT03280329. September 12, 2017.

Indexed as

Critical IllnessHypnotics and SedativesIntensive Care UnitsMusic TherapyRandomized Controlled Trials as TopicAnalgesicsCritical CareHumansStress, PsychologicalTime FactorsTreatment OutcomeAnalgesicsHypnotics and SedativesConscious sedationCritical illnessIntensive care unitsMusic therapyPsychological stress

Identifiers

PMID38867317
PMCPMC11170779

What OpenQuestion holds

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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.