IMPROVING THE QUALITY OF CARE USING A DELIRIUM PREVENTION BUNDLE

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Critical Care Medicine, Faculty of Medicine, Alexandria University

2 Department of Critical Care, Faculty of Medicine, Alexandria University

3 Department of Critical Care Medicine Faculty of Medicine Alexandria University

Abstract

• Introduction
Delirium is a common and serious complication in ICU patients, especially those requiring mechanical ventilation. It is associated with increased morbidity, mortality, prolonged ICU stays, and long-term cognitive decline. Both modifiable and nonmodifiable risk factors contribute to its development. Post-ICU syndrome, which includes lasting physical, cognitive, and psychological impairments, also affects caregivers and families. To address these outcomes, evidence-based guidelines and preventive strategies have been implemented. The ABCDEF bundle promotes a holistic approach to ICU care, emphasizing pain management, light sedation, early mobility, and family engagement. Early recognition and comprehensive interventions are essential to reduce delirium incidence, improve patient recovery, and enhance overall quality of life after discharge.

• Aim of the work: The aim of this study is to determine whether the ICU delirium prevention ABCDEF bundle significantly reduces the incidence of delirium and number of days with delirium compared to the standard of care delirium prevention strategies in mechanically ventilated patients.

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