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N/A N=110 Randomized Triple-blind Treatment

Musical Intervention and Physiological Stress and Inflammatory Biomarkers in Mechanically Ventilated ICU Patients

Sedation · Critical Illness · Respiration, Artificial · Inflammation · Stress, Physiological

Enrolled (actual)
110
Serious AEs
0.0%
Results posted
Mar 2026
Primary outcome: Primary: Levels of Serum Cortisol — 13.13; 15.93; 11.56; 16.07 µg/dL

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Music Therapy (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Oviedo
Primary completion
Jun 2025

Outcome Measures

OutcomeResultp-value
PRIMARY
Levels of Serum Cortisol
13.13; 15.93; 11.56; 16.07
PRIMARY
Levels of Prolactin
46.18; 45.74; 45.20; 46.36
PRIMARY
Levels of Interleukin 6
148.76; 110.60; 150.30; 111.66
SECONDARY
Bispectral Index (BIS)
50.07; 51.94; 49.30; 52.83
SECONDARY
Systolic Blood Pressure
130.38; 134.89; 127.62; 132.36
SECONDARY
Diastolic Blood Pressure
64.10; 63.07; 63.16; 61.60
SECONDARY
Heart Rate
75.07; 76.89; 76.52; 76.40
SECONDARY
Respiratory Rate
17.96; 19.25; 18.12; 18.94
SECONDARY
Oxygen Saturation
98.49; 98.03; 98.51; 98.02
SECONDARY
Intracranial Pressure
9.84; 7.00; 9.00; 9.60
SECONDARY
Sedation Medication Use
0.210; 0.156; 0.210; 0.156; 0.002; 0.001

Summary

This randomized clinical trial evaluates the effects of a musical intervention on hormonal and inflammatory biomarkers in sedated adult patients undergoing invasive mechanical ventilation in an intensive care unit. Serum cortisol, prolactin, and interleukin-6 levels are measured before and after the intervention, together with hemodynamic parameters. The aim is to assess whether music modulates physiological stress and inflammatory responses in critically ill patients

Eligibility Criteria

Inclusion Criteria

Adults aged ≥18 years. Admitted to the intensive care unit (ICU) for at least 24 hours. Intubated and undergoing invasive mechanical ventilation. Presence of an arterial catheter and/or central venous catheter. Sedation level corresponding to BIS 40-60. Absence of pain at baseline and during the intervention, defined as a CPOT score = 0 (Critical-Care Pain Observation Tool).

No previous exposure to music therapy or other musical interventions during the current hospital stay.

Exclusion Criteria

Severe neurological disease or injury, including encephalitis, diffuse axonal injury, or other central nervous system pathologies.

Severe psychiatric illness. Suspected or confirmed drug or alcohol intoxication, overdose, withdrawal, or abstinence syndrome.

Hearing impairment that would limit perception of the music intervention. Cranial or skull lesions preventing safe placement of headphones. Limitation of therapeutic effort or expected death within the next 24 hours. Diagnosis of brain death. Inability to obtain informed consent from the legal representative within 72 hours of ICU admission.

Refusal by the responsible attending physician.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT06120660). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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