Point prevalence of delirium among critically ill patients in Saudi Arabia: A multicenter observational study.

Autor: Alqadheeb NS; Department of Pharmacy, King Fahad Specialist Hospital, Dammam, Saudi Arabia., Hashhoush MS; Department of Pharmacy, King Fahad Specialist Hospital, Dammam, Saudi Arabia., Alharthy AM; Department of Critical Care Medicine, King Saud Medical City, Riyadh, Saudi Arabia., Mahmood NN; Department of Critical Care Medicine, King Saud Medical City, Riyadh, Saudi Arabia., Alfardan ZA; Department of Critical Care Medicine, King Saud Medical City, Riyadh, Saudi Arabia., Amin R; Department of Pharmacy, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia., Maghrabi KA; Department of Critical Care Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia., Almaani MA; Department of Critical Care Medicine, King Fahad Medical City, Riyadh, Saudi Arabia., Alyamany MS; Department of Critical Care Medicine, King Fahad Medical City, Riyadh, Saudi Arabia., Alenezi FZ; Department of Critical Care Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia., Alruwaili AR; Department of Critical Care Medicine, King Abdulaziz Medical City, Riyadh, Saudi Arabia., Alkhatib KH; Department of Critical Care Medicine, AlNoor Specialist Hospital, Makkah, Saudi Arabia., Rugaan AS; Department of Critical Care Medicine, King Abdullah Medical City, Makkah, Saudi Arabia., Eltatar FS; Department of Critical Care Medicine, King Abdullah Medical City, Makkah, Saudi Arabia., Algethamy HM; Department of Critical Care Medicine, King Abdulaziz University Hospital, Jeddah, Saudi Arabia., Abudayah AM; Department of Critical Care Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia., Ghabashi AE; Department of Critical Care Medicine, King Abdulaziz Medical City, Jeddah, Saudi Arabia., ElRakaiby GB; Department of Critical Care Medicine, King Abdulaziz Medical City, Jeddah, Saudi Arabia., Alkatheeri KF; Department of Critical Care Medicine, King Khaled University Hospital, Riyadh, Saudi Arabia., Alarifi MI; Department of Critical Care Medicine, King Khaled University Hospital, Riyadh, Saudi Arabia., Al Mubarak YA; Department of Critical Care Medicine, King Fahad University Hospital-Imam Abdulrahman Bin Faisal University, Khobar, Saudi Arabia., Ismail NH; Department of Pharmacy, King Fahad University Hospital, Khobar, Saudi Arabia., Alnajdi IH; Department of Pharmacy, Johns Hopkins Aramco Health Care, Dhahran, Saudi Arabia., Ahmed MEI; Department of Critical Care Medicine, Johns Hopkins Aramco Health Care, Dhahran, Saudi Arabia., Alansari MA; Department of Critical Care Medicine, Imam Abdulrahman Alfaisal Hospital, Dammam, Saudi Arabia., Alenazi AO; Department of Pharmacy, Imam Abdulrahman Alfaisal Hospital, Dammam, Saudi Arabia., Almuslim OM; Department of Critical Care Medicine, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
Jazyk: angličtina
Zdroj: International journal of critical illness and injury science [Int J Crit Illn Inj Sci] 2022 Apr-Jun; Vol. 12 (2), pp. 70-76. Date of Electronic Publication: 2022 Jun 24.
DOI: 10.4103/ijciis.ijciis_76_21
Abstrakt: Background: Delirium in critically ill patients is independently associated with poor clinical outcomes. There is a scarcity of published data on the prevalence of delirium among critically ill patients in Saudi Arabia. Therefore, we sought to determine, in a multicenter fashion, the prevalence of delirium in critically ill patients in Saudi Arabia and explore associated risk factors.
Methods: A cross-sectional point prevalence study was conducted on January 28, 2020, at 14 intensive care units (ICUs) across 3 universities and 11 other tertiary care hospitals in Saudi Arabia. Delirium was screened once using the Intensive Care Delirium Screening Checklist. We excluded patients who were unable to participate in a valid delirium assessment, patients admitted with traumatic brain injury, and patients with documented dementia in their medical charts.
Results: Of the 407 screened ICU patients, 233 patients were enrolled and 45.9% were diagnosed with delirium. The prevalence was higher in mechanically ventilated patients compared to patients not mechanically ventilated (57.5% vs. 33.6%; P < 0.001). In a multivariate model, risk factors independently associated with delirium included age (adjusted odds ratio [AOR], 1.021; 95% confidence interval [CI], 1.01-1.04; P = 0.008), mechanical ventilation (AOR, 2.39; 95% CI, 1.34-4.28; P = 0.003), and higher severity of illness (AOR, 1.01; 95% CI, 1.001-1.021; P = 0.026).
Conclusion: In our study, delirium remains a prevalent complication, with distinct risk factors. Further studies are necessary to investigate long-term outcomes of delirium in critically ill patients in Saudi Arabia.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2022 International Journal of Critical Illness and Injury Science.)
Databáze: MEDLINE
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