Delirium en pacientes de una Unidad de cuidados intermedios: estudio prospectivo

Background: Delirium or acute confusional state is defined as an acute disturbance of consciousness and attention. Its prevalence among hospitalized patients fluctuates between 25 and 60%. Aim: To assess the prevalence and features of delirium in an intermediate care unit. Patients and methods: All...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	González H,Jorge, Barros B,Jorge
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2000
Materias:	Aging Delirium Dementia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000100010
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872000000100010
record_format	dspace
spelling	oai:scielo:S0034-988720000001000102000-05-25Delirium en pacientes de una Unidad de cuidados intermedios: estudio prospectivoGonzález H,JorgeBarros B,Jorge Aging Delirium Dementia Background: Delirium or acute confusional state is defined as an acute disturbance of consciousness and attention. Its prevalence among hospitalized patients fluctuates between 25 and 60%. Aim: To assess the prevalence and features of delirium in an intermediate care unit. Patients and methods: All patients admitted to intermediate care unit during a period of two months were assessed and followed. Delirium was assessed daily during the stay in the unit, using the Inouye Confusion Assessment Method. Delirium was classified as hyperactive if the patient required pharmacological or physical restraining methods. Results: Sixty four patients, 32 female, aged 19 to 90 years old were assessed. Forty one percent had delirium. Of these, delirium started after admission in 46% and was hyperactive in 35%. Cognitive disturbances were ascertained by the health care team in 69% of patients with delirium. Age over 70 years old and a history of dementia were defined as predisposing factors for delirium. Serum albumin was > 3.5 g/dl in 14 of 18 patients with and in 11 of 27 patients without delirium (p=0.04). The most frequent risk factors were systemic infections, metabolic disturbances and intracranial lesions. Physical restraining and neuroleptics were the most commonly used measures to deal with hyperactive patients. Conclusions: The prevalence of delirium found in this study is similar to that reported elsewhere, except for the high proportion of patients whose delirium started after admission. (Rev Méd Chile 2000; 128: 75-79)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.1 20002000-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000100010es10.4067/S0034-98872000000100010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aging Delirium Dementia
spellingShingle	Aging Delirium Dementia González H,Jorge Barros B,Jorge Delirium en pacientes de una Unidad de cuidados intermedios: estudio prospectivo
description	Background: Delirium or acute confusional state is defined as an acute disturbance of consciousness and attention. Its prevalence among hospitalized patients fluctuates between 25 and 60%. Aim: To assess the prevalence and features of delirium in an intermediate care unit. Patients and methods: All patients admitted to intermediate care unit during a period of two months were assessed and followed. Delirium was assessed daily during the stay in the unit, using the Inouye Confusion Assessment Method. Delirium was classified as hyperactive if the patient required pharmacological or physical restraining methods. Results: Sixty four patients, 32 female, aged 19 to 90 years old were assessed. Forty one percent had delirium. Of these, delirium started after admission in 46% and was hyperactive in 35%. Cognitive disturbances were ascertained by the health care team in 69% of patients with delirium. Age over 70 years old and a history of dementia were defined as predisposing factors for delirium. Serum albumin was > 3.5 g/dl in 14 of 18 patients with and in 11 of 27 patients without delirium (p=0.04). The most frequent risk factors were systemic infections, metabolic disturbances and intracranial lesions. Physical restraining and neuroleptics were the most commonly used measures to deal with hyperactive patients. Conclusions: The prevalence of delirium found in this study is similar to that reported elsewhere, except for the high proportion of patients whose delirium started after admission. (Rev Méd Chile 2000; 128: 75-79)
author	González H,Jorge Barros B,Jorge
author_facet	González H,Jorge Barros B,Jorge
author_sort	González H,Jorge
title	Delirium en pacientes de una Unidad de cuidados intermedios: estudio prospectivo
title_short	Delirium en pacientes de una Unidad de cuidados intermedios: estudio prospectivo
title_full	Delirium en pacientes de una Unidad de cuidados intermedios: estudio prospectivo
title_fullStr	Delirium en pacientes de una Unidad de cuidados intermedios: estudio prospectivo
title_full_unstemmed	Delirium en pacientes de una Unidad de cuidados intermedios: estudio prospectivo
title_sort	delirium en pacientes de una unidad de cuidados intermedios: estudio prospectivo
publisher	Sociedad Médica de Santiago
publishDate	2000
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000100010
work_keys_str_mv	AT gonzalezhjorge deliriumenpacientesdeunaunidaddecuidadosintermediosestudioprospectivo AT barrosbjorge deliriumenpacientesdeunaunidaddecuidadosintermediosestudioprospectivo
_version_	1718435900234399744

Delirium en pacientes de una Unidad de cuidados intermedios: estudio prospectivo

Ejemplares similares