Delirium in the ICU: What About the Floor?
| Autor: | Christopher Pearcy, Anthony T. Cahill, Michael S. Truitt, Phillip Sladek, Vaidehi Agrawal |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical Care Foley catheter 030204 cardiovascular system & hematology Emergency Nursing Critical Care Nursing Risk Assessment Cohort Studies 03 medical and health sciences 0302 clinical medicine Sex Factors Internal medicine mental disorders Medicine Humans Hospital Mortality Prospective Studies Prospective cohort study Aged Advanced and Specialized Nursing Aged 80 and over Chi-Square Distribution Trauma Severity Indices Respiratory distress business.industry Incidence (epidemiology) Age Factors Delirium 030208 emergency & critical care medicine Middle Aged Texas Intensive Care Units Wounds and Injuries Female medicine.symptom business Risk assessment Chi-squared distribution Cohort study |
| Zdroj: | Journal of trauma nursing : the official journal of the Society of Trauma Nurses. 24(4) |
| ISSN: | 1078-7496 |
| Popis: | Delirium was first described in the 1800s as acute, fluctuating confusion. Recent studies note an incidence of 15% in adult intensive care unit patients. Here we present the first prospective study to evaluate the incidence and risk factors for delirium in patients admitted to the trauma surgeon (TS) in non-critical care areas (NCCAs). Patients 18 years or older admitted to any TS in the designated NCCA were evaluated and consented for participation over a 3-month period. Participants were screened with the Confusion Assessment Method (CAM) every 12 hr. Those positive for delirium (CAM+) were administered the CAM-Severity. In addition, 69 other previously identified risk factors were evaluated. Over 3 months, 148 patients were evaluated, 12 of whom were CAM+ (8%). Of patients 65 years or older, 21% screened positive for delirium. Age, education level, presence of Foley catheter, respiratory distress, orthopedic operation, and lack of ambulation were risk factors associated with delirium (p < .05). Among all TS patients in the NCCA, we found delirium to be present in 8%. Our nurses identified a 21% incidence of delirium in patients 65 years or older. Given this significant incidence, screening at-risk patients in the NCCA should be considered. |
| Databáze: | OpenAIRE |
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