Risk factors associated with the development of delirium in general ICU patients. A prospective observational study
| العنوان: | Risk factors associated with the development of delirium in general ICU patients. A prospective observational study |
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| المؤلفون: | David Varillas-Delgado, Ana Abella, Sofía Garcia-Manzanedo, Maria-Mercedes Garcia-Arias, Beatriz Lobo-Valbuena, Inés Torrejón, Federico Gordo, Rosario Molina |
| المصدر: | DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria instname PLoS ONE PLoS ONE, Vol 16, Iss 9, p e0255522 (2021) |
| بيانات النشر: | PLOS One, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, Epidemiology, Logistic regression, Anesthesiology, Risk Factors, Medicine and Health Sciences, Anesthesia, Prospective Studies, Aged, 80 and over, Multidisciplinary, Frailty, Pharmaceutics, Incidence (epidemiology), Middle Aged, Prognosis, Methods observational, Quality Improvement, Hospitals, Intensive Care Units, Nephrology, Sedation, Renal Cancer, Neuromuscular Blockade, Medicine, Female, medicine.symptom, Research Article, medicine.medical_specialty, Icu patients, Demographics, Science, Multiple Organ Failure, Surgical and Invasive Medical Procedures, Drug Therapy, Diagnostic Medicine, medicine, Humans, In patient, Aged, Pharmacology, business.industry, Delirium, Health Care, Health Care Facilities, Medical Risk Factors, Emergency medicine, Observational study, Local and Regional Anesthesia, business |
| الوصف: | Objective We aimed to analyze risk factors related to the development of delirium, aiming for early intervention in patients with greater risk. Material and methods 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. Results 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 Conclusions 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. |
| اللغة: | English |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::aeedd332ee1a8d13636d2293cf2b38beTest https://hdl.handle.net/10641/2845Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....aeedd332ee1a8d13636d2293cf2b38be |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |