Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes
Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes
| dc.contributor.author | Serafim, Rodrigo Bernardo | |
| dc.contributor.author | Dutra, Maximiliano F. | |
| dc.contributor.author | Saddy, felipe | |
| dc.contributor.author | Tura, Bernardo R | |
| dc.contributor.author | Castro, José eduardo Couto de | |
| dc.contributor.author | Vilarinho, Luciana C | |
| dc.contributor.author | Santos, Maria da Gloria | |
| dc.contributor.author | Bozza, Fernando Augusto | |
| dc.contributor.author | Rocco, José Rodolfo | |
| dc.date.accessioned | 2024-01-05T13:01:36Z | |
| dc.date.available | 2024-01-05T13:01:36Z | |
| dc.date.issued | 2012 | |
| dc.description.abstract | Background: Delirium features can vary greatly depending on the postoperative population studied; however, most studies focus only on high-risk patients. Describing the impact of delirium and risk factors in mixed populations can help in the development of preventive actions. Methods: The occurrence of delirium was evaluated prospectively in 465 consecutive nonventilated postoperative patients admitted to a surgical intensive care unit (SICU) using the confusion assessment method (CAM). Patients with and without delirium were compared. A multiple logistic regression was performed to identify the main risk factors for delirium in the first 24 h of admission to the SICU and the main predictors of outcomes. Results: Delirium was diagnosed in 43 (9.2%) individuals and was more frequent on the second and third days of admission. The presence of delirium resulted in longer lengths of SICU and hospital stays [6 days (3-13) vs. 2 days (1-3), p < 0.001 and 26 days (12-39) vs. 6 days (3-13), p <0.001, respectively], as well as higher hospital and SICU mortality rates [16.3% vs. 4.0%, p = 0.004 and 6.5% vs. 1.7%, p = 0.042, respectively]. The risk factors for delirium were age (odds ratio (OR), 1.04 [1.02-1.07]), Acute Physiologic Score (APS; OR, 1.11 [1.04-1.2]), emergency surgery (OR, 8.05 [3.58-18.06]), the use of benzodiazepines (OR, 2.28 [1.04-5.00]), and trauma (OR, 6.16 [4.1-6.5]). Conclusions: Delirium negatively impacts postoperative nonventilated patients. Risk factors can be used to detect high-risk patients in a mixed population of SICU patients. | |
| dc.identifier.citation | Serafim RB, Dutra MF, Saddy F, Tura B, de Castro JE, Villarinho LC, da Gloria Santos M, Bozza FA, Rocco JR. Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes. Ann Intensive Care. 2012 Dec 31;2(1):51. doi: 10.1186/2110-5820-2-51. | |
| dc.identifier.other | DOI: 10.1186/2110-5820-2-51 | |
| dc.identifier.uri | https://dspace.inc.saude.gov.br/handle/123456789/390 | |
| dc.language.iso | en | |
| dc.publisher | Annals of Intensive Care | |
| dc.title | Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes | |
| dc.type | Article |