Prevalence of delirium in adult intensive therapy

Authors

DOI:

https://doi.org/10.33448/rsd-v9i8.5431

Keywords:

Delirium; Intensive care unit; Nursing.

Abstract

Objective: Measure the prevalence of delirium in intensive care patients. Method: This is a cross-sectional study with a quantitative approach, carried out in a highly complex hospital in Caxias do Sul. The study population consisted of 1271 patients hospitalised in the intensive care unit in 2017. For the data collection it was used an electronic  spreadsheet made by the researchers. The data was analysed using descriptive statistics. Results: It was evidenced that 8% (101) of the patients were diagnosed with delirium; of those 50% were older than 70 years, 74% used benzodiazepines, 65% were hypertensive, 71% had some comorbidity and 76% survived. Conclusion: The delirium is a sudden onset pathology, but it can be prevented through strategies in the care plan, and it is the nurse who performs the identification of the patients at risk for developing delirium by applying specific scales.

References

Barcellos, R. A, & Chatkin, J. M. (2020). Impacto de uma lista de verificação multiprofissional nos tempos de ventilação mecânica invasiva e de permanência em UTI. J Bras Pneumol. 20180261.

Chanques, G., Ely, E. W., Garnier, O., Perrigault, F., et al. (2018). The 2014 updated version of the Confusion Assessment Method for the Intensive Care Unit compared to the 5th version of the Diagnostic and Statistical Manual of Mental Disorders and other current methods used by intensivists. Ann Intensive Care. 10.1186/s13613-018-0377-7.

Clatt, F. C., Barcellos, R. A., & Susin, A. C (2020). Eventos adversos relacionados a medicamentos em terapia intensiva em adultos: uma revisão integrativa. Pesquisa, Sociedade e Desenvolvimento, v. 9, n. 7, p. e646974402.

Delaney, A., Hammond, N., & Litton, E. (2018). Preventing Delirium in the Intensive Care Unit. JAMA. 10.1001/jama.2018.0159.

Faria, R. S. B., & Moreno, R. P. (2013). Delirium na unidade de cuidados intensivos: uma realidade subdiagnosticada. Rev Bras Ter Intensiva 25(2), 137-147.

Horsten, S., Reinke, L., Absalom, A. R., & Tulleken, J. E. (2018). Systematic review of the effects of intensive-care-unit noise on sleep of healthy subjects and the critically ill. Br J Anaesth. 04;120(3),443-452.

Luna, A. A., Bridi, A. C., & Silva, R. C. L.(2015) Delirium in intensive care- a retrospective study. J Nurs UFPE on line. [Internet], Recife, PE, v. 9, n. 1, p. 69-75, jan.,2015.

Mori, S., Takeda, J. R. T., Carrara, F. S. A., et al. (2016). Incidence and factors related to delirium in an intensive care unit. Rev Esc Enferm USP 50(4),585-591.

Nassar Junior, A. P., & Park, M.(2014) Daily sedative interruption versus intermittent sedation in mechanically ventilated critically ill patients: a randomized trial. Ann Intensive Care. 4:14.

Peitz, G. J., Balas, M. C., Olsen, K. M., Pun, B. T., & Ely, E. W. (2013). Top 10 myths regarding sedation and delirium in the ICU. Crit Care Med 41(9 Suppl 1):S46-56.

Pitrowsky, M. T., Shinotsuka, C. R., Soares, M., et al. (2010). Importância da monitorização do delirium na unidade de terapia intensiva. Rev Bras Ter Intensiva 22(3), 274-279

Rose, L., Fitzgerald, E., Cook, D., Kim, S., et al. (2015) SLEAP Investigators. Canadian Critical Care Trials Group Clinician perspectives on protocols designed to minimize sedation. J Crit Care. 2015;30(2),348–352

Souza, T. L., Azzolin, K. O., & Fernandes, V. R. (2018) Cuidados multiprofissionais para pacientes em delirium em terapia intensiva: revisão integrativa. Rev Gaucha Enferm. 1983-14472018000100505

Shinotsuka CR, & Salluh JIF. (2013). Percepções e práticas sobre delirium, sedação e analgesia em pacientes críticos: uma revisão narrativa. Rev Bras Ter Intensiva 25(2),155-161

Van, R. B., Schuurmans, M. J., & Shortridge-Baggett, L. M., (2008) A comparison of the CAM-ICU and the NEECHAM Confusion Scale in intensive care delirium assessment: an observational study in non-intubated patients. J Crit Care. 12(1),12-6.

Published

28/06/2020

How to Cite

BARCELLOS, R. de A.; ZANON, A.; CASTILHOS, T. de C.; CANDATEN, A. E.; BÁO, A. C. P. . Prevalence of delirium in adult intensive therapy. Research, Society and Development, [S. l.], v. 9, n. 8, p. e165985431, 2020. DOI: 10.33448/rsd-v9i8.5431. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/5431. Acesso em: 14 nov. 2024.

Issue

Section

Health Sciences