Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2012 |
| Outros Autores: | , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/33935 |
Resumo: | Copa D’Or Hospital. Ventilatory Intensive Care Unit. Rio de Janeiro, RJ, Brazil / D’Or Institute of Research and Education. Rio de Janeiro, RJ, Brazil / Federal University of Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Department of Internal Medicine and Post-graduated Program. Rio de Janeiro, RJ, Brazil. |
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Serafim, R. B.Dutra, M. F.Saddy, F.Tura, B.Castro, J. E. deVillarinho, L. C.Santos, M. da GloriaBozza, F. A.Rocco, J. R.2019-07-09T22:59:48Z2019-07-09T22:59:48Z2012SERAFIM, Rodrigo Bernardo et al. Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes. Annals of Intensive Care, v. 2, p. 1-6, Dec. 2012.2110-5820https://www.arca.fiocruz.br/handle/icict/3393510.1186/2110-5820-2-512110-5820engBMCDelirium in postoperative nonventilated intensive care patients: risk factors and outcomesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleCopa D’Or Hospital. Ventilatory Intensive Care Unit. Rio de Janeiro, RJ, Brazil / D’Or Institute of Research and Education. Rio de Janeiro, RJ, Brazil / Federal University of Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Department of Internal Medicine and Post-graduated Program. Rio de Janeiro, RJ, Brazil.Copa D’Or Hospital. Surgical Intensive Care Unit. Rio de Janeiro, RJ, Brazil.Copa D’Or Hospital. Ventilatory Intensive Care Unit. Rio de Janeiro, RJ, Brazil.D’Or Institute of Research and Education. Rio de Janeiro, RJ, BrazilCopa D’Or Hospital. Ventilatory Intensive Care Unit. Rio de Janeiro, RJ, Brazil.Copa D’Or Hospital. Ventilatory Intensive Care Unit. Rio de Janeiro, RJ, Brazil.Copa D’Or Hospital. Ventilatory Intensive Care Unit. Rio de Janeiro, RJ, Brazil.D’Or Institute of Research and Education. Rio de Janeiro, RJ, Brazil / Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.Federal University of Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Department of Internal Medicine and Post-graduated Program. Rio de Janeiro, RJ, Brazil.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.DeliriumPostoperativeSurgeryConfusion assessment methodinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/33935/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALve_Serafim_Rodrigo_etal_INI_2012.pdfve_Serafim_Rodrigo_etal_INI_2012.pdfapplication/pdf403949https://www.arca.fiocruz.br/bitstream/icict/33935/2/ve_Serafim_Rodrigo_etal_INI_2012.pdf3625dddb671d77191057eb13efeb5bbaMD52TEXTve_Serafim_Rodrigo_etal_INI_2012.pdf.txtve_Serafim_Rodrigo_etal_INI_2012.pdf.txtExtracted texttext/plain28065https://www.arca.fiocruz.br/bitstream/icict/33935/3/ve_Serafim_Rodrigo_etal_INI_2012.pdf.txt6dbc7ca9255012e1732b53133772c9e9MD53icict/339352019-07-10 02:01:34.604oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352019-07-10T05:01:34Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
| dc.title.pt_BR.fl_str_mv |
Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes |
| title |
Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes |
| spellingShingle |
Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes Serafim, R. B. Delirium Postoperative Surgery Confusion assessment method |
| title_short |
Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes |
| title_full |
Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes |
| title_fullStr |
Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes |
| title_full_unstemmed |
Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes |
| title_sort |
Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes |
| author |
Serafim, R. B. |
| author_facet |
Serafim, R. B. Dutra, M. F. Saddy, F. Tura, B. Castro, J. E. de Villarinho, L. C. Santos, M. da Gloria Bozza, F. A. Rocco, J. R. |
| author_role |
author |
| author2 |
Dutra, M. F. Saddy, F. Tura, B. Castro, J. E. de Villarinho, L. C. Santos, M. da Gloria Bozza, F. A. Rocco, J. R. |
| author2_role |
author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Serafim, R. B. Dutra, M. F. Saddy, F. Tura, B. Castro, J. E. de Villarinho, L. C. Santos, M. da Gloria Bozza, F. A. Rocco, J. R. |
| dc.subject.en.pt_BR.fl_str_mv |
Delirium Postoperative Surgery Confusion assessment method |
| topic |
Delirium Postoperative Surgery Confusion assessment method |
| description |
Copa D’Or Hospital. Ventilatory Intensive Care Unit. Rio de Janeiro, RJ, Brazil / D’Or Institute of Research and Education. Rio de Janeiro, RJ, Brazil / Federal University of Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Department of Internal Medicine and Post-graduated Program. Rio de Janeiro, RJ, Brazil. |
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2012 |
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2012 |
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2019-07-09T22:59:48Z |
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2019-07-09T22:59:48Z |
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info:eu-repo/semantics/publishedVersion |
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SERAFIM, Rodrigo Bernardo et al. Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes. Annals of Intensive Care, v. 2, p. 1-6, Dec. 2012. |
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https://www.arca.fiocruz.br/handle/icict/33935 |
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2110-5820 |
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10.1186/2110-5820-2-51 |
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2110-5820 |
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SERAFIM, Rodrigo Bernardo et al. Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes. Annals of Intensive Care, v. 2, p. 1-6, Dec. 2012. 2110-5820 10.1186/2110-5820-2-51 |
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