Effectiveness of a Prevention Bundle on The Incidence of Delirium in a Critical Care Unit

INTRODUCTION: Delirium in the ICU represents an acute form of organ dysfunction, which manifests as a rapidly developing disturbance of both consciousness and cognition. The American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, defines 4 key features of delirium: (1) disturbance of consciousness (2) altered cognition or the development of a perceptual disturbance (3) disturbance that develops over a short period of time and tends to fluctuate during the course of the day; and (4) evidence of an etiologic factor.(1–3) OBJECTIVES: 1. To estimate the incidence of delirium in the ICU of a tertiary care centre. 2. To determine the effect of delirium prevention bundle in reducing the incidence of delirium. MATERIALS AND METHODS: Type of study Prospective, interventional study Study setting The MICU1 of Pushpagiri Medical College, Thiruvalla. STUDY POPULATION: Patients getting admitted in MICU1 of Pushpagiri Medical College in the year 2024–2025, who satisfy the inclusion criteria. SAMPLE SIZE: 88 will be the sample size in phase 1 and 3 20 for phase 2. DATA COLLECTION: PHASE 1: Baseline data collection. Consists of a 3-month baseline assessment period, where all patients admitted to the MICU will be assessed for the presence of predisposing risk factors for delirium using CAM ICU score. PHASE 2: Implementation of a bundle: Give your patient “M.O.R.E” The acronym can be defined M: Music, Early Mobilization 0: Opening of blinds during day, switching Off lights at night R: Reorientation and cognitive stimulation E: Eye/Ear protocols. Phase 3: Post-bundle implementation evaluation Delirium prevention protocol will be implemented and data collected. RESULTS: Implentation of delirium prevention bundle decreases the incidence of delirium DISCUSSIONS/CONCLUSIONS: In conclusion, the implementation of a delirium prevention bundle in the ICU setting has demonstrated a significant reduction in the incidence of delirium among critically ill patients. These findings highlight the importance of systematic, evidence-based interventions in improving patient outcomes. Adopting such prevention bundles should be considered best practice in critical care units to enhance patient safety, recovery, and ICU quality.