Mobilisation in the EveNing to TreAt delirium: MENTAL
Research type
Research Study
Full title
Does mobilisation in the evening reduce the incidence of delirium in patients admitted to intensive care: a mixed-methods, randomised controlled feasibility study
IRAS ID
312437
Contact name
David McWilliams
Contact email
Sponsor organisation
University Hospitals Coventry & Warwickshire NHS Trust
Clinicaltrials.gov Identifier
Clinicaltrials.gov Identifier
N/A, N/A
Duration of Study in the UK
0 years, 3 months, 30 days
Research summary
Patients with severe illness require lifesaving treatment in intensive care units. Around a third of patients admitted to intensive care develop delirium. This is a severe state of confusion. Delirium can be a frightening experience. Patients suffering from delirium can find it difficult to think clearly or understand what is happening. In some cases delirium can cause people to see or hear things that are not really there. Patients who develop delirium tend to spend longer in hospital and have worse overall outcomes. A major cause for the development of delirium is poor sleep. Previous research suggests that delirium levels can be reduced when patients are more active. We have noticed that when patients in intensive care have physiotherapy during the day, they are often very tired and fall asleep quickly afterwards. We think that patients who have physiotherapy in the evening will sleep better overnight. We hope this will reduce the number who develop delirium.
To answer this question we need to compare patients who are active in the evening with those who only have physiotherapy sessions during the day. Before a full study can take place it is important to make sure it is designed in the best way. To do this, we will recruit 60 patients from 2 hospitals in the UK over 6 months. Half of those who agree to take part will be seen by the physiotherapist in the evening, the other half will not. We will then ask the following questions before deciding whether to do a full study
1. Will patients agree to be a part of this trial?
2. Will they agree to the additional physiotherapy sessions offered in the evening?
3. Will patients and staff members be happy for us to randomly select who receives this extra treatment?REC name
Wales REC 6
REC reference
22/WA/0106
Date of REC Opinion
10 May 2022
REC opinion
Further Information Favourable Opinion