Incidence and Risk Factors for Delirium in Older Patients Following Intensive Care Unit Admission: A Prospective Observational Study.

The Journal of Nursing Research : JNR
Xiao LiYuhang Ai

Abstract

Both high prevalence and incidence rates of delirium occur frequently among patients aged 65 years or older in intensive care units (ICUs) and are accompanied by adverse outcomes. Because of lack of nursing staff resources and imperfect humanistic care, delirium is easily overlooked by both physicians and nurses in the ICU in Mainland China. This study aimed to explore the incidence rate of delirium and to determine the risk factors among critically ill older patients. A prospective observational study was conducted on patients aged 65 years and older who were admitted consecutively to two ICUs of a university-affiliated hospital in China. The Confusion Assessment Method for the Intensive Care Unit and the Richmond Agitation-Sedation Scale were used to assess delirium status twice daily. Patient demographic, laboratory, medical, therapeutic, and prognostic data were collected. One hundred fifteen patients were included as participants, with a median age of 70 years (range 65-93 years). Seventy-six (66.1%) patients presented with delirium. Half of the sample had a hypoactive subtype. Patients who developed delirium had a longer mean length of ICU stay, greater chance of physical restraints use, greater use of fentanyl, and poore...Continue Reading

References

Nov 15, 2006·Intensive Care Medicine·Sébastien OuimetYoanna Skrobik
Oct 9, 2007·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Giuseppe BellelliMarco Trabucchi
Apr 7, 2009·Critical Care : the Official Journal of the Critical Care Forum·Hui XieGary H Mills
Sep 15, 2010·Critical Care Medicine·Yahya ShehabiUNKNOWN SEDCOM (Safety and Efficacy of Dexmedetomidine Compared With Midazolam) Study Group
Jan 3, 2012·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Ulf GuentherChristian Putensen
Feb 14, 2012·Journal of Psychosomatic Research·David J MeagherPaula T Trzepacz
May 9, 2012·Critical Care : the Official Journal of the Critical Care Forum·Bart Van RompaeyPhilippe G Jorens
Dec 25, 2012·Critical Care Medicine·John A McPhersonPratik P Pandhvaripande
Sep 3, 2013·Lancet·Sharon K InouyeJane S Saczynski
May 6, 2014·Journal of Pain and Symptom Management·Qingdong LiYongli Zhang
Jun 20, 2014·Critical Care : the Official Journal of the Critical Care Forum·Annemiek E WoltersArjen J C Slooter
Jan 13, 2015·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Jill L GuttormsonRachel M Jones
Jan 27, 2015·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Maxine de la CruzEduardo Bruera
Feb 3, 2015·JAMA Internal Medicine·Tammy T HshiehSharon K Inouye
May 7, 2015·Journal of the American Geriatrics Society·Jennifer S AlbrechtUNKNOWN Functional Outcomes in Cardiovascular Patients Undergoing Surgical Hip Fracture Repair Cognitive Ancillary Study Investigato
Jul 29, 2015·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Marie EngwallBerit Lindahl
Nov 13, 2015·The Journal of Nursing Research : JNR·Wei-Li LinJeng Wang
Sep 14, 2016·Intensive Care Medicine·Jorge I F SalluhJohn P Kress
Jun 6, 2017·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Alessandro MorandiUNKNOWN ISGoD Group
Jun 15, 2017·Intensive Care Medicine·Pratik P PandharipandeHeidi A B Smith
Jun 15, 2017·Nursing in Critical Care·Mohammad SulimanKhitam Al-Awamreh
Oct 4, 2017·JAMA : the Journal of the American Medical Association·Esther S OhSharon K Inouye
Nov 8, 2017·Journal of Anaesthesiology, Clinical Pharmacology·Siddareddygari Velayudha ReddyAnanthapuram Srinivasamurthy
Mar 28, 2018·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Leona BannonBronagh Blackwood

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
Yuying FanXuemei Zhu
Journal of the American Geriatrics Society
J Francis
Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur
Luis A Sánchez-HurtadoSilvio A Ñamendys-Silva
© 2021 Meta ULC. All rights reserved