Delirium and Associated Length of Stay and Costs in Critically Ill Patients.

Autor:	Dziegielewski C; Department of Medicine, University of Ottawa, Ottawa, ON, Canada., Skead C; Department of Medicine, University of Ottawa, Ottawa, ON, Canada., Canturk T; Department of Medicine, University of Ottawa, Ottawa, ON, Canada., Webber C; Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.; Bruyère Research Institute, Ottawa, ON, Canada.; ICES uOttawa, Ottawa, ON, Canada., Fernando SM; Division of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.; Department of Emergency Medicine, University of Ottawa, Ottawa, ON, Canada., Thompson LH; Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada., Foster M; Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada., Ristovic V; Department of Anesthesia, University of Ottawa, Ottawa, ON, Canada., Lawlor PG; Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.; Bruyère Research Institute, Ottawa, ON, Canada.; Division of Palliative Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada., Chaudhuri D; Division of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada., Dave C; Department of Medicine, University of Ottawa, Ottawa, ON, Canada., Herritt B; Division of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada., Bush SH; Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.; Bruyère Research Institute, Ottawa, ON, Canada.; Division of Palliative Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada., Kanji S; Ottawa Hospital Research Institute, University of Ottawa, Ottawa, ON, Canada.; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.; Department of Pharmacy, Ottawa, ON, Canada., Tanuseputro P; Bruyère Research Institute, Ottawa, ON, Canada.; ICES uOttawa, Ottawa, ON, Canada.; Division of Palliative Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada., Thavorn K; ICES uOttawa, Ottawa, ON, Canada.; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.; The Ottawa Methods Centre, Ottawa Hospital Research Institute, Ottawa, ON, Canada., Rosenberg E; Division of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada., Kyeremanteng K; Division of Critical Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.; Division of Palliative Care, Department of Medicine, University of Ottawa, Ottawa, ON, Canada.
Jazyk:	angličtina
Zdroj:	Critical care research and practice [Crit Care Res Pract] 2021 Apr 24; Vol. 2021, pp. 6612187. Date of Electronic Publication: 2021 Apr 24 (Print Publication: 2021).
DOI:	10.1155/2021/6612187
Abstrakt:	Purpose: Delirium frequently affects critically ill patients in the intensive care unit (ICU). The purpose of this study is to evaluate the impact of delirium on ICU and hospital length of stay (LOS) and perform a cost analysis. Materials and Methods: Prospective studies and randomized controlled trials of patients in the ICU with delirium published between January 1, 2015, and December 31, 2020, were evaluated. Outcome variables including ICU and hospital LOS were obtained, and ICU and hospital costs were derived from the respective LOS. Results: Forty-one studies met inclusion criteria. The mean difference of ICU LOS between patients with and without delirium was significant at 4.77 days ( p < 0.001); for hospital LOS, this was significant at 6.67 days ( p < 0.001). Cost data were extractable for 27 studies in which both ICU and hospital LOS were available. The mean difference of ICU costs between patients with and without delirium was significant at $3,921 ( p < 0.001); for hospital costs, the mean difference was $5,936 ( p < 0.001). Conclusion: ICU and hospital LOS and associated costs were significantly higher for patients with delirium, compared to those without delirium. Further research is necessary to elucidate other determinants of increased costs and cost-reducing strategies for critically ill patients with delirium. This can provide insight into the required resources for the prevention of delirium, which may contribute to decreasing healthcare expenditure while optimizing the quality of care. Competing Interests: The authors declare that there are no conflicts of interest regarding the publication of this article. (Copyright © 2021 Claudia Dziegielewski et al.)
Databáze:	MEDLINE
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