Post-Stroke Enhancement of Delirium Outcomes With Reduction in Neuro-checks

The registry criteria, word for word

What the trial wants to find out

There have been limited studies on delirium in patients hospitalized with acute stroke. There have been no studies on the potential impact of overnight neuro-checks and resulting sleep disruption on delirium or other outcomes. Additional research is needed to determine if overnight checks are necessary or even harmful. We aim to find out if stopping overnight neuro checks may prevent delirium and benefit the patient.

The 2 groups in the trial

• Standard of Care Neuro ChecksNo study treatment, for comparison

  If a patient is randomized to the control group, they will continue to have neuro-checks conducted every 2-4 hours as ordered by the primary team, as per standard of care on the acute stroke service.

• Absence of Neuro ChecksTreatment being tested

  If a patient is randomized to the intervention group, the team will discontinue neuro-checks between 8pm and 4am. They will otherwise receive the same care, including overnight vital signs. If the patient has a neurologic or hemodynamic change, the primary team may elect to restart the overnight neuro-checks.

  Treatment: Decreased Neuro Checks overnight