Incidence and factors related to delirium in an Intensive Care Unit


Mori S., Tsuchihashi Takeda J. R., Angotti Carrara F. S., Cohrs C. R., Viski Zanei S. S., Whitaker I. Y.

REVISTA DA ESCOLA DE ENFERMAGEM DA USP, vol.50, no.4, pp.585-591, 2016 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 50 Issue: 4
  • Publication Date: 2016
  • Doi Number: 10.1590/s0080-623420160000500014
  • Journal Name: REVISTA DA ESCOLA DE ENFERMAGEM DA USP
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Page Numbers: pp.585-591
  • Keywords: Delirium, Intensive Care Units, Nursing Care, CRITICALLY-ILL PATIENTS, RISK-FACTORS, ICU PATIENTS, SEDATION, ADULTS, PREVALENCE, PREVENTION, MANAGEMENT, IMPLEMENTATION, METAANALYSIS
  • Dokuz Eylül University Affiliated: No

Abstract

Objective: To identify the incidence of delirium, compare the demographic and clinical characteristics of patients with and without delirium, and verify factors related to delirium in critical care patients. Method: Prospective cohort with a sample made up of patients hospitalized in the Intensive Care Unit (ICU) of a university hospital. Demographic, clinical variables and evaluation with the Confusion Assessment Method for Intensive Care Unit to identify delirium were processed to the univariate analysis and logistic regression to identify factors related to the occurrence of delirium. Results: Of the total 149 patients in the sample, 69 (46.3%) presented delirium during ICU stay, whose mean age, severity of illness and length of ICU stay were statistically higher. The factors related to delirium were: age, midazolam, morphine and propofol. Conclusion: Results showed high incidence of ICU delirium associated with older age, use of sedatives and analgesics, emphasizing the need for relevant nursing care to prevent and identify early, patients presenting these characteristics.