Delirium in ICU patients following cardiac surgery: An observational study

Journal of Clinical Nursing
Silvio SimeoneGabriele Iannelli

Abstract

To observe the clinical and structural factors that can be associated with the post-operative onset of delirium in patients who have undergone heart surgery. Several risk factors could contribute to the development of delirium, such as the use of some sedative drugs and a patient's history with certain types of acute chronic disease. However, in the literature, there is little knowledge about the association between delirium in patients who have undergone cardiac surgical intervention and their clinical and environmental predictors. We used an observational design. We enrolled 89 hospitalised patients in the ICU. Patients were first evaluated using the Richmond Agitation Sedation Scale and subsequently using the Confusion Assessment Method for the ICU. A linear model of regression was used to identify the predictors of delirium in patients. The patients had an average age of 89 years (SD = 6.9), were predominantly male (84.3%) and were mostly married (79.8%). The majority of patients had been subjected to bypass (80.9%), while 19.1% had undergone the intervention of endoprosthesis. The logistic regression model showed that patient age, the duration of mechanically assisted ventilation, continuous exposure to artificial light an...Continue Reading

References

Dec 15, 1990·Annals of Internal Medicine·S K InouyeR I Horwitz
Apr 13, 2000·Archives of Internal Medicine·B E McGuireJ Gallagher
Jun 11, 2002·International Journal of Technology Assessment in Health Care
Nov 8, 2002·American Journal of Respiratory and Critical Care Medicine·Curtis N SesslerR K Elswick
Jun 12, 2003·JAMA : the Journal of the American Medical Association·E Wesley ElyGordon R Bernard
Jan 31, 2004·The Journal of Thoracic and Cardiovascular Surgery·Jan BuceriusFriedrich W Mohr
Apr 15, 2004·JAMA : the Journal of the American Medical Association·E Wesley ElyRobert S Dittus
Jun 9, 2005·Archives of General Psychiatry·Lisa L BarnesDavid A Bennett
Oct 14, 2006·Journal of the American Geriatrics Society·Monidipa Dasgupta, Andrea C Dumbrell
Nov 15, 2006·Intensive Care Medicine·Sébastien OuimetYoanna Skrobik
Aug 19, 2007·Chest·Brenda T Pun, E Wesley Ely
Feb 20, 2008·Critical Care : the Official Journal of the Critical Care Forum·Bart Van RompaeyLeo Bossaert
Apr 4, 2008·Journal of the American Geriatrics Society·Leslie A WeiSharon K Inouye
Jan 28, 2009·Journal of the American Geriatrics Society·Dan K KielyRichard N Jones
Apr 8, 2009·Intensive Care Medicine·Peter E SpronkJohannes H Rommes
May 22, 2009·Critical Care : the Official Journal of the Critical Care Forum·Bart Van RompaeyLeo Bossaert
Oct 16, 2009·Journal of Critical Care·Ulf GuentherChristian Putensen
Jan 27, 2010·Biology of Blood and Marrow Transplantation : Journal of the American Society for Blood and Marrow Transplantation·James R BasinskiJesse R Fann
Feb 18, 2010·Sleep Medicine Clinics·Jeanne F Duffy, Charles A Czeisler
Mar 30, 2010·Journal of the American Geriatrics Society·James L RudolphEdward R Marcantonio
Sep 3, 2010·International Journal of Endocrinology·Sunil Sharma, Mani Kavuru
Sep 15, 2010·Critical Care Medicine·Yahya ShehabiUNKNOWN SEDCOM (Safety and Efficacy of Dexmedetomidine Compared With Midazolam) Study Group
Sep 28, 2010·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Sandra KosterJob van der Palen
Nov 26, 2010·Critical Care : the Official Journal of the Critical Care Forum·Jorge I SalluhUNKNOWN Delirium Epidemiology in Critical Care Study Group
Nov 30, 2010·General Hospital Psychiatry·Ryosuke TsurutaTsuyoshi Maekawa
Aug 3, 2011·AACN Advanced Critical Care·Brenda T Pun, Leanne Boehm
Sep 21, 2011·Critical Care : the Official Journal of the Critical Care Forum·Julika SchoenKlaus-Ulrich Berger
Dec 7, 2011·Journal of the American Geriatrics Society·Douglas L Leslie, Sharon K Inouye
Jan 17, 2012·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Rebecca Boot
Feb 1, 2012·AACN Advanced Critical Care·John Allen, Earnest Alexander
Feb 9, 2012·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Alan J Chaput, Gregory L Bryson
Feb 11, 2012·Current Opinion in Critical Care·Shirley F Jones, Margaret A Pisani
Feb 22, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Robbert C BakkerAd J J C Bogers
Mar 16, 2012·British Journal of Anaesthesia·J Bellapart, R Boots
May 23, 2012·Critical Care Medicine·Ary Serpa NetoArjen J Slooter
Jun 6, 2012·Neurology·Walter A Kukull, Mary Ganguli
Jun 15, 2012·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Sandra KosterJob van der Palen
Oct 9, 2012·Best Practice & Research. Clinical Anaesthesiology·Paula L WatsonFrancesco Fanfulla
Oct 27, 2012·Neurologic Clinics·Andrew D Krystal
Nov 28, 2012·Critical Care Clinics·Nathan E Brummel, Timothy D Girard
Dec 28, 2012·Critical Care Medicine·Juliana BarrUNKNOWN American College of Critical Care Medicine
Dec 29, 2012·Annals of Intensive Care·Rodrigo CavallazziPaul E Marik
Jan 1, 2013·Annals of Intensive Care·Rodrigo Bernardo SerafimJosé Rodolfo Rocco
Mar 1, 2012·Translational Behavioral Medicine·Wendy A HendersonChristine M Hunter
Dec 12, 2013·Journal of Pharmacy Practice·Julie KalabalikRadwa El-Srougy
Feb 12, 2014·Current Opinion in Anaesthesiology·Charles H Brown
May 27, 2014·Archives of Psychiatric Nursing·Ann M KolanowskiMichael Valenzuela
Jul 2, 2014·Critical Care Research and Practice·Marcela Aparecida LeitePéricles Almeida Delfino Duarte

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Citations

Jul 8, 2020·Nursing in Critical Care·Francesco GravanteRoberto Latina
Jul 13, 2021·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Sara BayramzadehParsa Aghaei
Aug 19, 2021·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Jordan C WalterErin Gates
Aug 17, 2021·Nature and Science of Sleep·Xuan WangAilin Luo

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