Incidence, risk factors, and cumulative risk of delirium among ICU patients: A case-control study
Objectives: Delirium is a common acute cognitive impairment syndrome among intensive care unit (ICU) patients. This study was aimed to investigate the incidence, risk factors, and cumulative risk of delirium among ICU patients. Methods: A case-control study including clinical records of 452 patients...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-07-01
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| Series: | International Journal of Nursing Sciences |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352013218304496 |
| _version_ | 1819056724567392256 |
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| author | Yanbin Pan Jianlong Yan Zhixia Jiang Jianying Luo Jingjing Zhang Kaihan Yang |
| author_facet | Yanbin Pan Jianlong Yan Zhixia Jiang Jianying Luo Jingjing Zhang Kaihan Yang |
| author_sort | Yanbin Pan |
| collection | DOAJ |
| description | Objectives: Delirium is a common acute cognitive impairment syndrome among intensive care unit (ICU) patients. This study was aimed to investigate the incidence, risk factors, and cumulative risk of delirium among ICU patients. Methods: A case-control study including clinical records of 452 patients were retrospectively analyzed. Delirium was assessed using the Confusion Assessment Method for the ICU and Richmond Agitation–Sedation Scale. Results: We found that 163 out of the 452 patients (36.1%) had delirium. Multivariate analysis showed that use of sedatives, length of ICU hospitalization, and physical restraint were independent risk factors for delirium. The additive effect of all three factors resulted to an odds ratio of 30.950. Conclusion: The incidence of delirium remained high. Thus, nurses shall strengthen the monitoring of delirium, regularly access the patient's level of calmness, and limit the use of physical restraint. Keywords: Delirium, Intensive care units, Risk factors, Cumulative risk, Case-control studies |
| first_indexed | 2024-12-21T13:27:58Z |
| format | Article |
| id | doaj.art-8503b43d021846d49807b690d1f21a5f |
| institution | Directory Open Access Journal |
| issn | 2352-0132 |
| language | English |
| last_indexed | 2024-12-21T13:27:58Z |
| publishDate | 2019-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Sciences |
| spelling | doaj.art-8503b43d021846d49807b690d1f21a5f2022-12-21T19:02:24ZengElsevierInternational Journal of Nursing Sciences2352-01322019-07-0163247251Incidence, risk factors, and cumulative risk of delirium among ICU patients: A case-control studyYanbin Pan0Jianlong Yan1Zhixia Jiang2Jianying Luo3Jingjing Zhang4Kaihan Yang5Huadu District People's Hospital, Southern Medical University, Guangzhou, China; Zunyi Medical University, Zunyi, ChinaHuadu District People's Hospital, Southern Medical University, Guangzhou, ChinaZunyi Medical University, Zunyi, China; Affiliated Hospital of Zunyi Medical University, Zunyi, China; Corresponding author. College of Nursing, Zunyi Medical University, Nursing Department, Affiliated Hospital of Zunyi Medical University, 149 Dalian Road, Zunyi, 563003, China.Huadu District People's Hospital, Southern Medical University, Guangzhou, ChinaZunyi Medical University, Zunyi, ChinaZunyi Medical University, Zunyi, ChinaObjectives: Delirium is a common acute cognitive impairment syndrome among intensive care unit (ICU) patients. This study was aimed to investigate the incidence, risk factors, and cumulative risk of delirium among ICU patients. Methods: A case-control study including clinical records of 452 patients were retrospectively analyzed. Delirium was assessed using the Confusion Assessment Method for the ICU and Richmond Agitation–Sedation Scale. Results: We found that 163 out of the 452 patients (36.1%) had delirium. Multivariate analysis showed that use of sedatives, length of ICU hospitalization, and physical restraint were independent risk factors for delirium. The additive effect of all three factors resulted to an odds ratio of 30.950. Conclusion: The incidence of delirium remained high. Thus, nurses shall strengthen the monitoring of delirium, regularly access the patient's level of calmness, and limit the use of physical restraint. Keywords: Delirium, Intensive care units, Risk factors, Cumulative risk, Case-control studieshttp://www.sciencedirect.com/science/article/pii/S2352013218304496 |
| spellingShingle | Yanbin Pan Jianlong Yan Zhixia Jiang Jianying Luo Jingjing Zhang Kaihan Yang Incidence, risk factors, and cumulative risk of delirium among ICU patients: A case-control study International Journal of Nursing Sciences |
| title | Incidence, risk factors, and cumulative risk of delirium among ICU patients: A case-control study |
| title_full | Incidence, risk factors, and cumulative risk of delirium among ICU patients: A case-control study |
| title_fullStr | Incidence, risk factors, and cumulative risk of delirium among ICU patients: A case-control study |
| title_full_unstemmed | Incidence, risk factors, and cumulative risk of delirium among ICU patients: A case-control study |
| title_short | Incidence, risk factors, and cumulative risk of delirium among ICU patients: A case-control study |
| title_sort | incidence risk factors and cumulative risk of delirium among icu patients a case control study |
| url | http://www.sciencedirect.com/science/article/pii/S2352013218304496 |
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