Jeannette Crew, Ahmed Abdelmonem, Xuan Wang, Charles Harmon, Ariel Modrykamien
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The rate of delirium, ICU and ventilator lengths of stay, and mortality were compared between groups (n = 17 protocol, n = 50 control).</p><p><strong>Results: </strong>There were no statistically significant differences in demographic characteristics, severity of illness, medical comorbidities, or cumulative doses of sedating medications between the groups. The rate of delirium between groups was not statistically significantly different (11.8% vs 16%, <i>P</i> = 0.70). Severity of illness based on APACHE IV score was statistically associated with mortality (estimate coefficient 0.03, <i>P</i> = 0.015), and use of dexmedetomidine was statistically associated with prolonged ICU and ventilator lengths of stay.</p><p><strong>Conclusion: </strong>The music therapy and music listening protocol did not show a reduction of the delirium rate for mechanically ventilated patients.</p>","PeriodicalId":8828,"journal":{"name":"Baylor University Medical Center Proceedings","volume":"38 3","pages":"285-290"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026178/pdf/","citationCount":"0","resultStr":"{\"title\":\"Music therapy in addition to music listening for the prevention of delirium in mechanically ventilated patients.\",\"authors\":\"Jeannette Crew, Ahmed Abdelmonem, Xuan Wang, Charles Harmon, Ariel Modrykamien\",\"doi\":\"10.1080/08998280.2025.2466931\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Delirium in mechanically ventilated patients has resulted in prolonged intensive care unit (ICU) and ventilator stay and higher mortality. Research has shown that a bundle containing sedation awakening and spontaneous breathing trials, appropriate choice of sedatives, early mobilization, and family engagement was associated with a reduced rate of delirium. Music listening and music therapy have also been studied, showing promising results for anxiety and pain control, but have not been studied in terms of preventing delirium.</p><p><strong>Methods: </strong>As part of a quality improvement project, we implemented a protocol of music listening and music therapy for mechanically ventilated patients. The rate of delirium, ICU and ventilator lengths of stay, and mortality were compared between groups (n = 17 protocol, n = 50 control).</p><p><strong>Results: </strong>There were no statistically significant differences in demographic characteristics, severity of illness, medical comorbidities, or cumulative doses of sedating medications between the groups. The rate of delirium between groups was not statistically significantly different (11.8% vs 16%, <i>P</i> = 0.70). Severity of illness based on APACHE IV score was statistically associated with mortality (estimate coefficient 0.03, <i>P</i> = 0.015), and use of dexmedetomidine was statistically associated with prolonged ICU and ventilator lengths of stay.</p><p><strong>Conclusion: </strong>The music therapy and music listening protocol did not show a reduction of the delirium rate for mechanically ventilated patients.</p>\",\"PeriodicalId\":8828,\"journal\":{\"name\":\"Baylor University Medical Center Proceedings\",\"volume\":\"38 3\",\"pages\":\"285-290\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-02-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026178/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Baylor University Medical Center Proceedings\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/08998280.2025.2466931\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Baylor University Medical Center Proceedings","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/08998280.2025.2466931","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
简介:机械通气患者谵妄导致重症监护病房(ICU)和呼吸机住院时间延长和死亡率升高。研究表明,包含镇静唤醒和自主呼吸试验、适当选择镇静剂、早期动员和家庭参与的捆绑治疗与谵妄发生率降低有关。听音乐和音乐疗法也被研究过,在控制焦虑和疼痛方面显示出有希望的结果,但在预防谵妄方面还没有研究。方法:作为质量改进项目的一部分,我们对机械通气患者实施了音乐聆听和音乐治疗方案。比较两组患者谵妄率、ICU和呼吸机住院时间及死亡率(n = 17个方案组,n = 50个对照组)。结果:两组在人口学特征、疾病严重程度、医学合并症或镇静药物累积剂量方面无统计学显著差异。两组患者谵妄发生率比较,差异无统计学意义(11.8% vs 16%, P = 0.70)。基于APACHE IV评分的疾病严重程度与死亡率有统计学相关性(估计系数0.03,P = 0.015),右美托咪定的使用与ICU和呼吸机住院时间延长有统计学相关性。结论:对机械通气患者,音乐治疗和听音乐并不能降低谵妄率。
Music therapy in addition to music listening for the prevention of delirium in mechanically ventilated patients.
Introduction: Delirium in mechanically ventilated patients has resulted in prolonged intensive care unit (ICU) and ventilator stay and higher mortality. Research has shown that a bundle containing sedation awakening and spontaneous breathing trials, appropriate choice of sedatives, early mobilization, and family engagement was associated with a reduced rate of delirium. Music listening and music therapy have also been studied, showing promising results for anxiety and pain control, but have not been studied in terms of preventing delirium.
Methods: As part of a quality improvement project, we implemented a protocol of music listening and music therapy for mechanically ventilated patients. The rate of delirium, ICU and ventilator lengths of stay, and mortality were compared between groups (n = 17 protocol, n = 50 control).
Results: There were no statistically significant differences in demographic characteristics, severity of illness, medical comorbidities, or cumulative doses of sedating medications between the groups. The rate of delirium between groups was not statistically significantly different (11.8% vs 16%, P = 0.70). Severity of illness based on APACHE IV score was statistically associated with mortality (estimate coefficient 0.03, P = 0.015), and use of dexmedetomidine was statistically associated with prolonged ICU and ventilator lengths of stay.
Conclusion: The music therapy and music listening protocol did not show a reduction of the delirium rate for mechanically ventilated patients.