Tempo de permanência prolongado na emergência associado à delirium em idosos: revisão sistemática

Fernanda Gomes de Magalhães Soares  Pinheiro; Nicoly Gabrielly Brito  Nascimento; Aryel Andrade de  Jesus; Thaiane Santana  Santos; Marcos Antônio Gois  Santana; Wanessa Alves  Silva; Hertaline Menezes do Nascimento  Rocha

doi:10.33448/rsd-v11i1.24966

Autores

Fernanda Gomes de Magalhães Soares Pinheiro Universidade Federal de Sergipe https://orcid.org/0000-0002-5258-4752
Nicoly Gabrielly Brito Nascimento Universidade Federal de Sergipe https://orcid.org/0000-0002-9531-5368
Aryel Andrade de Jesus Universidade Federal de Sergipe https://orcid.org/0000-0001-8797-987X
Thaiane Santana Santos Universidade Federal de Sergipe https://orcid.org/0000-0003-2207-8055
Marcos Antônio Gois Santana Universidade Federal de Sergipe https://orcid.org/0000-0001-9707-1590
Wanessa Alves Silva Universidade Federal de Sergipe https://orcid.org/0000-0003-2695-4227
Hertaline Menezes do Nascimento Rocha Universidade Federal de Sergipe https://orcid.org/0000-0002-3592-898X

DOI:

https://doi.org/10.33448/rsd-v11i1.24966

Palavras-chave:

Delirium; Idoso; Serviços médicos de emergência.

Resumo

O estudo tem como objetivo analisar se o tempo de permanência no departamento de emergência antes da internação

hospitalar é associado à delirium em idosos. Trata-se de uma revisão sistemática realizada segundo o guideline Systematic Reviews and Meta-Analysis (PRISMA). A pesquisa foi realizada nas bases de dados PubMed, SCOPUS, Web of Science, CINAHAL e Google Scholar, bem como de uma busca manual nas listas de referências dos artigos selecionados. Após a análise dos critérios de elegibilidade, três estudos foram incluídos e apresentaram como delineamento coorte prospectiva ou retrospectiva e avaliaram a relação entre incidência de delirium e tempo de permanência de pacientes idosos no Departamento de Emergência. Todos os participantes dos estudos tiveram um tempo de exposição ao departamento de emergência maior ou igual a 8 horas antes de serem encaminhados para a internação hospitalar. O estudo permite concluir que a permanência prolongada de pacientes idosos no Pronto-Socorro ou Departamento de emergência aumentou o risco de desenvolver delirium.

Referências

Ackroyd-Stolarz, S., Read Guernsey, J., Mackinnon, N. J., & Kovacs, G. (2011). The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. BMJ quality & safety, 20(7), 564–569. https://doi.org/10.1136/bmjqs.2009.034926

Atilla, Ö. D., Sezík, S., Daǧar, S., Akkaya, A., & Aksay, E. (2014). Delirium in older emergency department patients is associated with increased in-hospital mortality. Turk Geriatr Derg, 17(1), 57-62

Berchet, C. (2015). Emergency care services: trends, drivers and interventions to manage demand, OECD Health Working Papers, (83). https://doi.org/10.1787/18152015

Bergjan, M., Zilezinski, M., Schwalbach, T., Franke, C., Erdur, H., Audebert, H. J., & Hauß, A. (2020). Validation of two nurse-based screening tools for delirium in elderly patients in general medical wards. BMC Nurs, 19(1), 1–9. https://dx.doi.org/10.1186%2Fs12912-020-00464-4

Bittencourt, R. J., Stevanato, A. M., Bragança, C. T. N. M., Gottems, L. B. D., & O’Dwyer, G. (2020). Interventions in overcrowding of emergency departments: an overview of systematic reviews. Rev Saude Publica, 54(66). https://doi.org/10.11606/s1518-8787.2020054002342

Bo, M., Bonetto, M., Bottignole, G., Porrino, P., Coppo, E., Tibaldi, M., … & Bellelli, G. (2016). Length of Stay in the Emergency Department and Occurrence of Delirium in Older Medical Patients. Journal of the American Geriatrics Society, 64(5), 1114–1119. https://doi.org/10.1111/jgs.14103

Boudi, Z., Lauque, D., Alsabri, M., Östlundh, L., Oneyji, C., Khalemsky, A., … & Bellou, A. (2020). Association between boarding in the emergency department and in-hospital mortality: A systematic review. PLoS One, 15(4), e0231253. https://doi.org/10.1371/journal.pone.0231253

Coil, C. J., Flood, J. D., Belyeu, B. M., Young, P., Kaji, A.H., & Lewis, R.J. (2016). The Effect of Emergency Department Boarding on Order Completion. Ann Emerg Med, 67 (6), 730-736. https://doi.org/10.1016/j.annemergmed.2015.09.018

Daoust, R., Paquet, J., Boucher, V., Pelletier, M., Gouin, É., & Émond, M. (2020). Relationship Between Pain, Opioid Treatment, and Delirium in Older Emergency Department Patients. Academic emergency medicine: official journal of the Society for Academic Emergency Medicine, 27(8), 708–16. https://doi.org/10.1111/acem.14033

Elie, M., Rousseau, F., Cole, M., Primeau, F., McCusker, J., & Bellavance, F. (2000). Prevalence and detection of delirium in elderly emergency department patients. CMAJ, 163(8), 977–81. http://www.ncbi.nlm.nih.gov/pubmed/11068569

Émond, M., Boucher, V., Carmichael, P. H., Voyer, P., Pelletier, M., Gouin, É., … & Lee, J. (2018). Incidence of delirium in the Canadian emergency department and its consequences on hospital length of stay: A prospective observational multicentre cohort study. BMJ Open, 8(3), e018190. https://doi.org/10.1136/bmjopen-2017-018190

Émond, M., Grenier, D., Morin, J., Eagles, D., Boucher, V., Le Sage, N., … & Lee, J. S. (2017). Emergency department stay associated delirium in older patients. Can Geriatr J, 20(1), 10–14. https://doi.org/10.5770/cgj.20.246

Fuchs, S., Bode, L., Ernst, J., Marquetand, J., Känel, V. R, & Böttger S. (2020). Delirium in elderly patients: Prospective prevalence across hospital services. Gen Hosp Psychiatry, 67, 19–25. https://doi.org/10.1016/j.genhosppsych.2020.08.010

Hustey, F. M., & Meldon, S. W. (2002). The prevalence and documentation of impaired mental status in elderly emergency department patients. Annals of Emergency Medicine, 39(3), 248–253. https://doi.org/10.1067/mem.2002.122057

Kim, K., Lee, D. H., Yune, H.Y., Wee, J. H., Kim, D.H., Kim, E. C., … Choi, S. P. (2019). Identifying Potentially Avoidable Emergency Department Visits of Long-Term Care Hospital Residents in Korea: A Multicenter Retrospective Cohort Study. BioMed Research International, 2019, 1–7. https://doi.org/10.1155/2019/7041607

Lord, K., Parwani, V., Ulrich, A., Finn, E.B., Rothenberg, C., … & Rosenberg, A. (2018). Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. Am J Emerg Med, 36(7), 1246–1248. https://doi.org/10.1016/j.ajem.2018.03.043

Maciel, M. C., Niwa, L. M. S., Ciosak, S. I., & Najas, M. S. (2021). Fatores Precipitantes de Delirium em Pacientes Idosos Hospitalizados. Rev Divulg Científica Sena Aires, 10(1), 117–26. https://doi.org/10.36239/revisa.v10.n1.p117a126

McKenna, P., Heslin, S. M., Viccellio, P., Mallon, W. K., Hernandez, C., & Morley, E .J. (2019). Emergency department and hospital crowding: causes, consequences, and cures. Clin Exp Emerg Med, 6(3), 189–95. https://doi.org/10.15441/ceem.18.022

Morley. C., Unwin, M., Peterson, G. M., Stankovich, J., & Kinsman, L. (2018). Emergency department crowding: A systematic review of causes, consequences and solutions. PLoS One, 13(8), e0203316. https://dx.plos.org/10.1371/journal.pone.0203316

Oh, E. S., Fong, T. G., Hshieh, T. T., & Inouye, S. K. (2017). Delirium in Older Persons. JAMA, 318(12), 1161. https://doi.org/10.1001/jama.2017.12067

Oliveira, M. R., Veras, R.P., Cordeiro, H. A., & Pasinato, M.T. (2016). A mudança de modelo assistencial de cuidado ao idoso na Saúde Suplementar: identificação de seus pontos-chave e obstáculos para implementação. Physis Rev Saúde Coletiva, 26(4), 1383–94. https://doi.org/10.1590/S0103-73312016000400016

Parant, A. (1990). Les perspectives demographiques mondiales [World population prospects]. Futuribles (Paris, France: 1981), (141), 49–78. http://www.ncbi.nlm.nih.gov/pubmed/12283219

Pierce, B. A., & Gormley, D. (2016). Are Split Flow and Provider in Triage Models in the Emergency Department Effective in Reducing Discharge Length of Stay? J Emerg Nurs, 42(6), 487–491. http://dx.doi.org/10.1016/j.jen.2016.01.005

Pinheiro, F. G. M. S., Santos, S. E., Barreto, Í. D. C., Weiss, C., Vaez, A. C., Oliveira, J. C., ... & Silva, F. A. (2020). Mortality Predictors and Associated Factors in Patients in the Intensive Care Unit: A Cross-Sectional Study. Crit Care Res Pract, 2020, 1–6. https://doi.org/10.1155/2020/1483827

Quaresma, F., Duarte, A. M. L., Reis-Pina, P. S. S., Neto, I. M. M. A. G., & Almeida, J. (2020). Delirium numa enfermaria de Medicina Interna - impacto na prática clínica. Rev Med, 99(4), 357–365. https://doi.org/10.11606/issn.1679-9836.v99i4p357-365

Reynish, E. L., Hapca, S. M., Souza, N., Cvoro, V., Donnan, P.T., & Guthrie, B. (2017). Epidemiology and outcomes of people with dementia, delirium, and unspecified cognitive impairment in the general hospital: prospective cohort study of 10,014 admissions. BMC Med, 15(1), 140. https://doi.org/10.1186/s12916-017-0899-0

Salehi, L., Phalpher, P., Valani, R., Meaney, C., Amin, Q., Ferrari, K., & Mercuri, M. (2018). Emergency department boarding: a descriptive analysis and measurement of impact on outcomes. CJEM, 20(6), 929–37. http://doi.org/10.1017/cem.2018.18

Sanon, M., Baumlin, K. M., Kaplan, S. S, & Grudzen, C. R. (2014). Care and respect for elders in emergencies program: A preliminary report of a volunteer approach to enhance care in the emergency department. J Am Geriatr Soc, 62(2), 365–70. https://doi.org/10.1111/jgs.12646

Schneider, S. M., Gallery, M. E., Schafermeyer, R., & Zwemer, F. L. (2003). Emergency department crowding: A point in time. Ann Emerg Med, 42(2), 167–172. https://doi.org/10.1067/mem.2003.258

Schubert, M., Schürch, R., Boettger, S., Nuñez, G. D., Schwarz, U., Bettex, D., … & Rudiger, A. (2018). A hospital-wide evaluation of delirium prevalence and outcomes in acute care patients - A cohort study. BMC Health Serv Res, 18(1), 550. https://doi.org/10.1186/s12913-018-3345-x

Smith, M., & Meyfroidt, G. (2017). Critical illness: the brain is always in the line of fire. Intensive Care Medicine, 43(6), 870-873. https://doi.org/10.1007/s00134-017-4791-3

Sprung, J., Roberts, R. O., Weingarten, T. N., Calvacante, A. N., Knopman, D. S., Petersen, R. C., … & Warner, D. O. (2017). Postoperative delirium in elderly patients is associated with subsequent cognitive impairment. Br J Anaesth, 119(2), 316–323. https://doi.org/10.1093/bja/aex130

Sri-on, J., Chang, Y., Curley, D. P., Jr, C. A. C., Weissman, J. S., Singer, S. J., & Liu, S. W. (2014). American Journal of Emergency Medicine Boarding is associated with higher rates of medication delays and adverse events but fewer laboratory-related delays. Am J Emerg Med, 32(9), 1033–1036. http://dx.doi.org/10.1016/j.ajem.2014.06.001

Tchkonia, T., & Kirkland, J. L. (2018). Aging Cell Senescence, and Chronic Disease: Emerging Therapeutic Strategies. JAMA, 320(13), 1319–1320. https://doi.org/10.1001/jama.2018.12440

Tempo de permanência prolongado na emergência associado à delirium em idosos: revisão sistemática

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