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

Autor: Alqadheeb, Nada, Hashhoush, Mai, Alharthy, Abdulrahman, Mahmood, Nasir, Alfardan, Zahra, Amin, Rashid, Maghrabi, Khalid, Almaani, Mohammed, Alyamany, Mahmoud, Alenezi, Farhan, Alruwaili, Abdulrahman, Alkhatib, Kasim, Rugaan, Asia, Eltatar, Faisal, Algethamy, Haifa, Abudayah, Abdullah, Ghabashi, Alaa, ElRakaiby, Galal, Alkatheeri, Khalid, Alarifi, Mohammed
Předmět:
Zdroj: International Journal of Critical Illness & Injury Science; Apr-Jun2022, Vol. 12 Issue 2, p70-76, 7p
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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje