Risk factors associated with the development of delirium in general ICU patients. A prospective observational study.
<h4>Objective</h4>We aimed to analyze risk factors related to the development of delirium, aiming for early intervention in patients with greater risk.<h4>Material and methods</h4>Observational study, including prospectively collected patients treated in a single general ICU....
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| Autores principales: | , , , , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Public Library of Science (PLoS)
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/d2cb55fe6b2344da816772cde8a7c24e |
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| Sumario: | <h4>Objective</h4>We aimed to analyze risk factors related to the development of delirium, aiming for early intervention in patients with greater risk.<h4>Material and methods</h4>Observational 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.<h4>Results</h4>1462 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 <2 OF (8.6%; OR 2.1; CI95%: 1.3-3.5). Patients who developed delirium had longer ICU and hospital length-of-stays and a higher rate of readmission.<h4>Conclusions</h4>The 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. |
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