{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T16:21:38Z","timestamp":1788366098011,"version":"build-2803163510"},"reference-count":54,"publisher":"CAIRN.INFO","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,11]]},"abstract":"<jats:p>Contexte\u00a0: le delirium est une complication fr\u00e9quente et grave en r\u00e9animation, et son incidence varie consid\u00e9rablement, allant de 3,6 % \u00e0 83,3 %. Il est associ\u00e9 \u00e0 des cons\u00e9quences d\u00e9l\u00e9t\u00e8res pour les patients. Malgr\u00e9 les preuves actuelles, la mise en \u0153uvre dans la pratique clinique courante reste un d\u00e9fi. La publication du contenu du pr\u00e9sent protocole permet aussi de diffuser des pratiques soutenues par des preuves. Objectifs\u00a0: ce protocole d\u2019\u00e9tude vise \u00e0 \u00e9valuer l\u2019efficacit\u00e9 d\u2019un ensemble standardis\u00e9 d\u2019interventions non pharmacologiques pour r\u00e9duire l\u2019incidence et la dur\u00e9e du delirium chez les patients hospitalis\u00e9s en r\u00e9animation. Les objectifs secondaires incluent l\u2019\u00e9valuation de la dur\u00e9e du delirium, des issues neuropsychologiques \u00e0 trois mois, et de la qualit\u00e9 de vie li\u00e9e \u00e0 la sant\u00e9 \u00e0 un an apr\u00e8s la sortie de r\u00e9animation. La r\u00e9daction du protocole suit les recommandations SPIRIT 2025, et le num\u00e9ro d\u2019enregistrement de l\u2019essai est NCT03125252. M\u00e9thodes\u00a0: il s\u2019agit d\u2019un essai contr\u00f4l\u00e9 randomis\u00e9 multicentrique en clusters impliquant 14 unit\u00e9s de r\u00e9animation, stratifi\u00e9es selon leur taille. La randomisation a \u00e9t\u00e9 faite en clusters, et le nombre de sujets n\u00e9cessaire \u00e9tait de 474 patients afin d\u2019observer une r\u00e9duction de 19 % de l\u2019incidence du d\u00e9lirium. Le groupe exp\u00e9rimental recevait des modifications environnementales, l\u2019hypnose conversationnelle, ainsi que des techniques d\u2019autonomisation, vs le groupe contr\u00f4le qui recevait les soins usuels. Le delirium est \u00e9valu\u00e9 deux fois par jour \u00e0 l\u2019aide de l\u2019outil valid\u00e9 CAM-ICU. R\u00e9sultats attendus\u00a0: ce protocole vise une diminution de l\u2019incidence du delirium gr\u00e2ce \u00e0 des soins humanistes et de pr\u00e9vention. Une \u00e9valuation de la dur\u00e9e du delirium, des retomb\u00e9es neuropsychologiques, ainsi que de la qualit\u00e9 de vie est \u00e9galement vis\u00e9e. Ce travail fournit \u00e9galement des \u00e9l\u00e9ments pr\u00e9cis \u00e0 destination des \u00e9quipes soignantes afin de mettre en place des soins sp\u00e9cifiques bas\u00e9s sur des preuves.<\/jats:p>","DOI":"10.3917\/rsi.164.0057","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T16:05:01Z","timestamp":1788365101000},"page":"57-70","source":"Crossref","is-referenced-by-count":0,"title":["Impact des mesures pr\u00e9ventives non pharmacologiques sur l\u2019incidence du delirium chez les adultes en r\u00e9animation\u00a0: protocole d\u2019\u00e9tude d\u2019un essai contr\u00f4l\u00e9 randomis\u00e9 en cluster"],"prefix":"10.3917","volume":"N\u00b0 164","author":[{"given":"Fanny","family":"Crozes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9verine","family":"Seailles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e9lanie","family":"Planton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Lepage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martine","family":"Quintard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Huo Yung Kai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stein","family":"Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carole","family":"Haubertin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-022-03931-3"},{"key":"rb2","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S62660"},{"key":"rb3","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181cabb42"},{"key":"rb4","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000004139"},{"key":"rb5","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-021-06503-1"},{"key":"rb6","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000727"},{"key":"rb7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2015.03.011"},{"key":"rb8","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12857"},{"key":"rb9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2015.04.013"},{"key":"rb10","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12124"},{"key":"rb11","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2015.01.001"},{"key":"rb12","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2020.2273"},{"key":"rb13","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1313886"},{"key":"rb14","doi-asserted-by":"crossref","unstructured":"14Maldonado JR. 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