Risk factors associated with the development of delirium in general ICU patients. A prospective observational study.

Autor: Beatriz Lobo-Valbuena, Federico Gordo, Ana Abella, Sofía Garcia-Manzanedo, Maria-Mercedes Garcia-Arias, Inés Torrejón, David Varillas-Delgado, Rosario Molina
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: PLoS ONE, Vol 16, Iss 9, p e0255522 (2021)
Druh dokumentu: article
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0255522
Popis: ObjectiveWe aimed to analyze risk factors related to the development of delirium, aiming for early intervention in patients with greater risk.Material and methodsObservational study, including prospectively collected patients treated in a single general ICU. These were classified into two groups, according to whether they developed delirium or not (screening performed using CAM-ICU tool). Demographics and clinical data were analyzed. Multivariate logistic regression analyses were performed to quantify existing associations.Results1462 patients were included. 93 developed delirium (incidence: 6.3%). These were older, scored higher on the Clinical Frailty Scale, on the risk scores on admission (SAPS-3 and SOFA), and had a greater number of organ failures (OF). We observed more incidence of delirium in patients who (a) presented more than two OF (20.4%; OR 4.9; CI95%: 2.9-8.2), and (b) were more than 74 years old albeit having ConclusionsThe highest risk observed for developing delirium clustered in patients who presented more than 2 OF and patients over 74 years old. The detection of patients at high risk for developing delirium could imply a change in management and improved quality of care.
Databáze: Directory of Open Access Journals