The Association between Acute Respiratory Distress Syndrome, Delirium, and In-Hospital Mortality in Intensive Care Unit Patients
| Autor: | Michelle N. Gong, Aluko A. Hope, Ana M. Ponea, Graciela J. Soto, S. Jean Hsieh |
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| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty ARDS In hospital mortality business.industry Acute respiratory distress Critical Care and Intensive Care Medicine medicine.disease behavioral disciplines and activities Intensive care unit nervous system diseases law.invention Respiratory failure law mental disorders Emergency medicine Cohort medicine Delirium medicine.symptom Intensive care medicine business Cohort study |
| Zdroj: | American Journal of Respiratory and Critical Care Medicine. 191:71-78 |
| ISSN: | 1535-4970 1073-449X |
| DOI: | 10.1164/rccm.201409-1690oc |
| Popis: | Rationale: Both acute respiratory distress syndrome (ARDS) and intensive care unit (ICU) delirium are associated with significant morbidity and mortality. However, the risk of delirium and its impact on mortality in ARDS patients is unknown.Objectives: To determine if ARDS is associated with a higher risk for delirium compared with respiratory failure without ARDS, and to determine the association between ARDS and in-hospital mortality after adjusting for delirium.Methods: Prospective observational cohort study of adult ICU patients admitted to two urban academic hospitals.Measurements and Main Results: Delirium was assessed daily using the Confusion Assessment Method for the ICU and Richmond Agitation and Sedation Scale. Of the 564 patients in our cohort, 48 had ARDS (9%). Intubated patients with ARDS had the highest prevalence of delirium compared with intubated patients without ARDS and nonintubated patients (73% vs. 52% vs. 21%, respectively; P |
| Databáze: | OpenAIRE |
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