eCASH方案用于ICU高谵妄风险患者的随机对照研究

A Randomized Controlled Study of eCASH Program in ICU Patients at High Risk of Delirium

目的探讨eCASH方案对于早期谵妄预测模型预测的谵妄高风险患者的预防作用。方法方便选择2018年1—10月在该院ICU住院患者为研究对象,入科后早期进行谵妄评估,对于高风险患者(风险≥30%)237例随机分为实验组及对照组,实验组实行eCASH方案,对照组采用一般ICU治疗,采用ICU谵妄诊断的意识状态评估法(CAM-ICU)进行谵妄评估,比较两组间谵妄发生率。结果实验组谵妄发生率比对照组低(26.89%vs 38.98%),差异有统计学意义(χ^2=3.924,P=0.048<0.05)。结论 eCASH方案对早期谵妄预测模型(E-PRE-DELIRIC)的谵妄高风险患者具备预防作用,可降低谵妄高风险患者谵妄发生率。

Objective To explore the preventive effect of eCASH program on patients with high risk of delirium predicted by the early delirium prediction model.Methods The patients who were hospitalized in the ICU of the hospital from January to October 2018 were conveniently selected as the research objects.Delirium assessment was performed early after admission.For high-risk patients(risk≥30%)237 cases,they were randomly divided into experimental group and control group,and the experimental group was implemented in the eCASH program,the control group was treated by general ICU,and delirium was assessed by the ICU-diagnosed state of consciousness assessment method(CAM-ICU),and the incidence of delirium between the two groups was compared.Results The incidence of delirium in the experimental group was lower than that in the control group(26.89%vs 38.98%),and the difference was statistically significant(χ2=3.924,P=0.048<0.05).Conclusion The eCASH program has a preventive effect on patients with high risk of delirium in the early delirium prediction model(E-PRE-DELIRIC),and can reduce the incidence of delirium in patients with high risk of delirium.