Incidence and risk factors of delirium in surgical intensive care unit.
brain
morbidity
observational study
risk factor
Journal
Trauma surgery & acute care open
ISSN: 2397-5776
Titre abrégé: Trauma Surg Acute Care Open
Pays: England
ID NLM: 101698646
Informations de publication
Date de publication:
2021
2021
Historique:
received:
23
07
2020
revised:
12
10
2020
accepted:
09
11
2020
entrez:
22
3
2021
pubmed:
23
3
2021
medline:
23
3
2021
Statut:
epublish
Résumé
To evaluate the incidence and modifiable risk factors of delirium in surgical intensive care unit (SICU) of tertiary care hospital in a low-income and middle-income country. We conducted a single cohort observational study in patients over 18 years of age who were admitted to the SICU for >24 hours in Aga Khan University Hospital from January to December 2016. Patients who had pre-existing cognitive dysfunction were excluded. Intensive Care Delirium Screening Checklist was used to assess delirium. Incidence of delirium was computed, and univariate and multivariable analyses were performed to observe the relationship between outcome and associated factors. The average patient age was 43.29±17.38 and body mass index was 26.25±3.57 kg/m Delirium is a significant risk factor of poor outcome in SICU. There was an independent association between pain, sedation, COPD, hypernatremia and fever in developing delirium. IV.
Sections du résumé
BACKGROUND
BACKGROUND
To evaluate the incidence and modifiable risk factors of delirium in surgical intensive care unit (SICU) of tertiary care hospital in a low-income and middle-income country.
METHODS
METHODS
We conducted a single cohort observational study in patients over 18 years of age who were admitted to the SICU for >24 hours in Aga Khan University Hospital from January to December 2016. Patients who had pre-existing cognitive dysfunction were excluded. Intensive Care Delirium Screening Checklist was used to assess delirium. Incidence of delirium was computed, and univariate and multivariable analyses were performed to observe the relationship between outcome and associated factors.
RESULTS
RESULTS
The average patient age was 43.29±17.38 and body mass index was 26.25±3.57 kg/m
CONCLUSION
CONCLUSIONS
Delirium is a significant risk factor of poor outcome in SICU. There was an independent association between pain, sedation, COPD, hypernatremia and fever in developing delirium.
LEVEL OF EVIDENCE
METHODS
IV.
Identifiants
pubmed: 33748426
doi: 10.1136/tsaco-2020-000564
pii: tsaco-2020-000564
pmc: PMC7931752
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e000564Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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