Abstract:
BACKGROUND:Several risk factors, such as age, alcohol abuse, dementia, and severe illness, can contribute to the development of delirium. However, limited information is available in the literature regarding the risk of delirium among surgical, trauma, neurological, and medical intensive care patients. AIMS AND OBJECTIVES:To describe the prevalence of risk factors associated with delirium in intensive care units. DESIGN:This study used an observational design. METHODS:We enrolled 165 patients hospitalized in two intensive care units in Italy. Patients were first evaluated using the Prediction of Delirium model and were subsequently evaluated using the Intensive Care Delirium Screening Checklist; evaluation lasted a maximum of 5 days for each admitted patient after sedation. A logistic regression model was used to identify the prevalence and risk factors of delirium. RESULTS:The average age of the patients was 57.6 (SD = 18.3) years, and the patients were predominantly male (65.0%). The majority of patients had been subjected to trauma (38.8%); 37.6% had undergone general surgical interventions, and 23.6% had undergone medical interventions. Delirium occurred in 55.8% of the 165 patients. The risk of delirium was independently associated with coma (odds ratio = 10.6; 95% confidence interval, 3.08-39.9) and the Acute Physiology and Chronic Health Evaluation II score (odds ratio = 4.27; 95% confidence interval, 1.58-11.53). CONCLUSIONS:This study confirmed that coma and the Acute Physiology and Chronic Health Evaluation II score were non-modifiable risk factors for delirium. Further studies could categorize the different types of coma. Proper delirium management could limit the impact on the recovery of these patients, their autonomy, and their reintegration into the social and professional world. RELEVANCE TO CLINICAL PRACTICE:Delirium increases intensive care unit and hospital length of stay. Early identification and risk factor assessment by critical care nurses are considered the key factors in the treatment of delirium.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Gravante F,Giannarelli D,Pucci A,Gagliardi AM,Mitello L,Montagna A,Latina Rdoi
10.1111/nicc.12526subject
Has Abstractpub_date
2020-07-06 00:00:00eissn
1362-1017issn
1478-5153pub_type
杂志文章abstract:AIM:The aim of this paper is to reflect upon the management interventions of non-invasive ventilation (NIV) and diuretic therapy that were implemented for a patient admitted to an intensive care unit (ICU) with acute cardiogenic pulmonary oedema. BACKGROUND:Acute pulmonary oedema is a serious and life-threatening comp...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2011.00410.x
更新日期:2011-07-01 00:00:00
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:10.1111/j.1478-5153.2008.00267.x
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVES:To explore the attitudes of Swedish intensive care nurses towards organ donor advocacy. BACKGROUND:The concept of organ donor advocacy is critical to nurses who care for potential donors in order to facilitate organ donation (OD). DESIGN:A retrospective cross-sectional study was employed. METHODS:Inclusio...
journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:2015-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
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更新日期:2013-11-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12497
更新日期:2020-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
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更新日期:2003-11-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:2016-07-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
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更新日期:2019-07-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12066
更新日期:2016-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1362-1017.2005.00121.x
更新日期:2005-07-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2012.00504.x
更新日期:2012-07-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2010.00444.x
更新日期:2011-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12298
更新日期:2018-03-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12054
更新日期:2014-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
doi:10.1111/nicc.12003
更新日期:2013-07-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2012.00525.x
更新日期:2012-11-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
doi:10.1111/nicc.12046
更新日期:2014-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:
更新日期:1998-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
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更新日期:2017-11-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2011.00479.x
更新日期:2012-03-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
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更新日期:2007-11-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12477
更新日期:2021-01-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2010.00420.x
更新日期:2010-11-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2008.00325.x
更新日期:2009-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
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更新日期:2010-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,随机对照试验
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更新日期:2017-07-01 00:00:00