| Unique ID issued by UMIN | UMIN000063045 |
|---|---|
| Receipt number | R000072166 |
| Scientific Title | A Feasibility Study of a Personalized Auditory Intervention for Delirium Prevention in Postoperative Cardiovascular Surgery Patients in the ICU |
| Date of disclosure of the study information | 2026/11/01 |
| Last modified on | 2026/09/24 18:31:29 |
A Feasibility Study of a Personalized Auditory Intervention for Delirium Prevention in Intensive Care Unit Patients Following Cardiovascular Surgery
Personalized Auditory Intervention Study
A Feasibility Study of a Personalized Auditory Intervention for Delirium Prevention in Postoperative Cardiovascular Surgery Patients in the ICU
PADI-ICU Study
| Japan |
Postoperative Delirium
| Neurology |
Others
NO
Postoperative delirium occurs frequently after cardiovascular surgery, with an incidence ranging from 26% to 52%, and is associated with prolonged ICU stays and increased healthcare costs. Therefore, its prevention remains an important clinical challenge. Recent guidelines recommend multimodal non-pharmacological interventions, including optimization of sedation and analgesia and early mobilization, for the prevention and management of delirium. In particular, the importance of patient-centered care that takes individual backgrounds and preferences into account has been emphasized.
The ICU environment is characterized by various non-routine and unpleasant auditory stimuli, such as alarms from life-support equipment and sounds generated by medical devices, which may contribute to the development of delirium. Conversely, hearing serves as an important means for patients with limited visual input to remain connected with the external environment. Familiar and comforting auditory stimuli, such as preferred music and the voices of family members, may contribute to delirium prevention by alleviating anxiety and stress.
The purpose of this study is to develop a personalized auditory intervention program that integrates multiple auditory components based on individual patient preferences and to evaluate its safety and feasibility among postoperative cardiovascular surgery patients admitted to the ICU.
If the personalized auditory intervention program developed in this study is demonstrated to be safe and feasible for postoperative cardiovascular surgery patients in the ICU, the findings will provide foundational evidence for the development of a novel non-pharmacological intervention for delirium prevention and support future studies evaluating its effectiveness.
Safety
Intervention completion rate
Feasibility: Intervention implementation rate, Acceptability of the intervention among nurses
Safety: Incidence of adverse events
Effectiveness: Incidence of delirium, Duration of delirium, Length of ICU stay
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Prevention
| Other |
A personalized auditory intervention program combining sounds selected according to individual patient preferences, including music, family voices, and natural sounds, will be administered to patients admitted to the ICU following cardiovascular surgery during their ICU stay.
| 18 | years-old | <= |
| Not applicable |
Male and Female
1. Patients scheduled to undergo cardiovascular surgery at Saga University Hospital and admitted to the ICU after surgery.
2. Patients scheduled for open-chest surgery under general anesthesia.
3. Adults aged 18 years or older.
4. Patients who have provided written informed consent to participate in this study.
1. Patients undergoing emergency surgery.
2. Patients with severe preexisting cognitive impairment (i.e., those diagnosed with dementia).
3. Patients who have significant difficulty communicating through normal conversation, even with the use of hearing-assistive devices such as hearing aids.
4. Patients deemed unsuitable for participation in the study by the attending physician.
20
| 1st name | Yamada |
| Middle name | |
| Last name | Haruna |
Saga University
Department of Nursing, Faculty of Medicine
8498501
5-1-1 Nabeshima, Saga, Saga
0952-34-2549
f0115@cc.saga-u.ac.jp
| 1st name | Yamada |
| Middle name | |
| Last name | Haruna |
Saga University
Department of Nursing, Faculty of Medicine
8498501
5-1-1 Nabeshima, Saga, Saga
0952-34-2549
f0115@cc.saga-u.ac.jp
Saga University
Japan Academy of Critical Care Nursing
Other
Saga University
5-1-1 Nabeshima, Saga, Saga
0952-34-3357
kenkyu-shinsei@ml.cc.saga-u.ac.jp
NO
| 2026 | Year | 11 | Month | 01 | Day |
Unpublished
Preinitiation
| 2025 | Year | 10 | Month | 21 | Day |
| 2026 | Year | 11 | Month | 01 | Day |
| 2027 | Year | 11 | Month | 30 | Day |
| 2026 | Year | 09 | Month | 24 | Day |
| 2026 | Year | 09 | Month | 24 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072166