Delirium in critical care patients. Incidence and prognostic influence.
| Title: | Delirium in critical care patients. Incidence and prognostic influence. |
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| Authors: | Varela, Daniel, Olmos, Matias, Tuhay, Graciela, Aguirre, Leandro, Klein, Francisco |
| Source: | Revista Brasileira de Terapia Intensiva; 2018 Supplement, Vol. 30, pS20-S20, 1/3p |
| Subject Terms: | DELIRIUM, COHORT analysis, INTENSIVE care units |
| Abstract: | Objective: The aim of the study was to evaluate the incidence and outcome of patients presenting with delirium during their ICU stay. Methods: Retrospective cohort study in ICU p. admitted from 1/7/15 to 30/11/17. Confussion Assesment Method for the Intensive care unit (CAM-ICU) was performed daily for delirium assessment. Two groups were analyzed: DP (with delirium) and DN (no delirium). Results: We included 2127 p. with 734 (34.5%) in DP group with a mean duration of 7.9±9 days while 1393 (65.5%) were in the DN group. Demographic data: age: DP 60.5±15.6, DN 56.7±16.5; APACHE II DP 17.2±7.7, DN 11.1±7; SAPS II DP 35.2±15.1, DN 23.4±14.3; ICU LOS DP median 11(5-20), DN 2(1-4); Mechanical Ventilation DP 507(69.1%), DN 221(15.9%); iv-sedation DP 456 (62.1%), DN 100(7.2%); iv-analgesia DP 489(66.6%), DN 283(20.3%); vasopressors DP 417(56.8%), DN 214(15.4%); transfusions CD 358(48.8%), DN 177(12.7%); infections DP 287(39.1%),DN 152(10.9%); ARF DP 184(25.1%), DN 115(8.2%), ICU mortality DP de 145(19.8%), DN 76(5.5%). The p was <0.05 for all the compared variables. Conclusion: Delirium was frequent in ICU patients showing a higher LOS, MV, vasopressors' and blood products', requirements, ARF, infections, and mortality rate compared to non-delirium patients. [ABSTRACT FROM AUTHOR] |
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| Database: | Complementary Index |
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| Items | – Name: Title Label: Title Group: Ti Data: Delirium in critical care patients. Incidence and prognostic influence. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Varela%2C+Daniel%22">Varela, Daniel</searchLink><br /><searchLink fieldCode="AR" term="%22Olmos%2C+Matias%22">Olmos, Matias</searchLink><br /><searchLink fieldCode="AR" term="%22Tuhay%2C+Graciela%22">Tuhay, Graciela</searchLink><br /><searchLink fieldCode="AR" term="%22Aguirre%2C+Leandro%22">Aguirre, Leandro</searchLink><br /><searchLink fieldCode="AR" term="%22Klein%2C+Francisco%22">Klein, Francisco</searchLink> – Name: TitleSource Label: Source Group: Src Data: Revista Brasileira de Terapia Intensiva; 2018 Supplement, Vol. 30, pS20-S20, 1/3p – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22DELIRIUM%22">DELIRIUM</searchLink><br /><searchLink fieldCode="DE" term="%22COHORT+analysis%22">COHORT analysis</searchLink><br /><searchLink fieldCode="DE" term="%22INTENSIVE+care+units%22">INTENSIVE care units</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: The aim of the study was to evaluate the incidence and outcome of patients presenting with delirium during their ICU stay. Methods: Retrospective cohort study in ICU p. admitted from 1/7/15 to 30/11/17. Confussion Assesment Method for the Intensive care unit (CAM-ICU) was performed daily for delirium assessment. Two groups were analyzed: DP (with delirium) and DN (no delirium). Results: We included 2127 p. with 734 (34.5%) in DP group with a mean duration of 7.9±9 days while 1393 (65.5%) were in the DN group. Demographic data: age: DP 60.5±15.6, DN 56.7±16.5; APACHE II DP 17.2±7.7, DN 11.1±7; SAPS II DP 35.2±15.1, DN 23.4±14.3; ICU LOS DP median 11(5-20), DN 2(1-4); Mechanical Ventilation DP 507(69.1%), DN 221(15.9%); iv-sedation DP 456 (62.1%), DN 100(7.2%); iv-analgesia DP 489(66.6%), DN 283(20.3%); vasopressors DP 417(56.8%), DN 214(15.4%); transfusions CD 358(48.8%), DN 177(12.7%); infections DP 287(39.1%),DN 152(10.9%); ARF DP 184(25.1%), DN 115(8.2%), ICU mortality DP de 145(19.8%), DN 76(5.5%). The p was <0.05 for all the compared variables. Conclusion: Delirium was frequent in ICU patients showing a higher LOS, MV, vasopressors' and blood products', requirements, ARF, infections, and mortality rate compared to non-delirium patients. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Group: Ab Data: <i>Copyright of Revista Brasileira de Terapia Intensiva is the property of Associacao de Medicina Intensiva Brasileira and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 0 StartPage: S20 Subjects: – SubjectFull: DELIRIUM Type: general – SubjectFull: COHORT analysis Type: general – SubjectFull: INTENSIVE care units Type: general Titles: – TitleFull: Delirium in critical care patients. Incidence and prognostic influence. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Varela, Daniel – PersonEntity: Name: NameFull: Olmos, Matias – PersonEntity: Name: NameFull: Tuhay, Graciela – PersonEntity: Name: NameFull: Aguirre, Leandro – PersonEntity: Name: NameFull: Klein, Francisco IsPartOfRelationships: – BibEntity: Dates: – D: 02 M: 10 Text: 2018 Supplement Type: published Y: 2018 Identifiers: – Type: issn-print Value: 0103507X Numbering: – Type: volume Value: 30 Titles: – TitleFull: Revista Brasileira de Terapia Intensiva Type: main |
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