Incidence and factors related to delirium in an Intensive Care Unit
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://repositorio.unifesp.br/handle/11600/57598 http://dx.doi.org/10.1590/S0080-623420160000500007 |
Resumo: | Objective: To identify the incidence of delirium, compare the demographic and clinical characteristics of patients with and without delirium, and verify factors related to delirium in critical care patients. Method: Prospective cohort with a sample made up of patients hospitalized in the Intensive Care Unit (ICU) of a university hospital. Demographic, clinical variables and evaluation with the Confusion Assessment Method for Intensive Care Unit to identify delirium were processed to the univariate analysis and logistic regression to identify factors related to the occurrence of delirium. Results: Of the total 149 patients in the sample, 69 (46.3%) presented delirium during ICU stay, whose mean age, severity of illness and length of ICU stay were statistically higher. The factors related to delirium were: age, midazolam, morphine and propofol. Conclusion: Results showed high incidence of ICU delirium associated with older age, use of sedatives and analgesics, emphasizing the need for relevant nursing care to prevent and identify early, patients presenting these characteristics. |
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Mori, Satomi [UNIFESP]Tsuchihashi Takeda, Juliana Rumy [UNIFESP]Angotti Carrara, Fernanda SouzaCohrs, Cibelli Rizzo [UNIFESP]Viski Zanei, Suely Sueko [UNIFESP]Whitaker, Iveth Yamaguchi [UNIFESP]2020-08-14T13:44:20Z2020-08-14T13:44:20Z2016Revista Da Escola De Enfermagem Da Usp. Cerquera Cesar, v. 50, n. 4, p. 585-591, 2016.0080-6234https://repositorio.unifesp.br/handle/11600/57598http://dx.doi.org/10.1590/S0080-623420160000500007S0080-62342016000400587-en.pdfS0080-62342016000400587-pt.pdfS0080-6234201600040058710.1590/S0080-623420160000500007WOS:000385453300007Objective: To identify the incidence of delirium, compare the demographic and clinical characteristics of patients with and without delirium, and verify factors related to delirium in critical care patients. Method: Prospective cohort with a sample made up of patients hospitalized in the Intensive Care Unit (ICU) of a university hospital. Demographic, clinical variables and evaluation with the Confusion Assessment Method for Intensive Care Unit to identify delirium were processed to the univariate analysis and logistic regression to identify factors related to the occurrence of delirium. Results: Of the total 149 patients in the sample, 69 (46.3%) presented delirium during ICU stay, whose mean age, severity of illness and length of ICU stay were statistically higher. The factors related to delirium were: age, midazolam, morphine and propofol. Conclusion: Results showed high incidence of ICU delirium associated with older age, use of sedatives and analgesics, emphasizing the need for relevant nursing care to prevent and identify early, patients presenting these characteristics.OBJETIVOS: Identificar a incidência de delirium, comparar as características demográficas e clínicas dos pacientes com e sem delirium e verificar os fatores relacionados ao delirium em pacientes internados em Unidade de Terapia Intensiva (UTI). MÉTODO: Coorte prospectiva, cuja amostra foi constituída de pacientes internados em UTI de um hospital universitário. Variáveis demográficas, clínicas e da avaliação com o Confusion Assessment Method for Intensive Care Unit para identificação de delirium foram processadas para análise univariada, e regressão logística para identificar fatores relacionados à ocorrência do delirium. RESULTADOS: Do total de 149 pacientes da amostra, 69 (46,3%) apresentaram delirium durante a internação na UTI, observando-se que a média da idade, o índice de gravidade e o tempo de permanência nas UTI foram estatisticamente maiores. Os fatores relacionados ao delirium foram: idade, midazolam, morfina e propofol. CONCLUSÃO: Os resultados mostraram elevada incidência de delirium na UTI e sua ocorrência associada às idades mais avançadas e o uso de sedativos e analgésicos, ressaltando-se a importância da atuação do enfermeiro na prevenção e identificação precoce do quadro nos pacientes com essas características.Univ Fed Sao Paulo, Escola Paulista Enfermagem, Rua Napoleao Barros,754 Vila Clementino, BR-04024002 Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Fac Med, Hosp Clin, Inst Coracao, Sao Paulo, SP, BrazilAssoc Paulista Desenvolvimento Med, Nucleo Gestao Pesquisa, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Escola Paulista Enfermagem, Rua Napoleao Barros,754 Vila Clementino, BR-04024002 Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Fac Med, Hosp Clin, Inst Coracao, Sao Paulo, SP, BrazilWeb of Science585-591engporUniv Sao PaoloRevista Da Escola De Enfermagem Da UspDelírioUnidades de Terapia IntensivaCuidados de EnfermagemDeliriumIntensive Care UnitsNursing CareIncidence and factors related to delirium in an Intensive Care UnitIncidência e fatores relacionados ao delirium em unidade de terapia intensivainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleCerqueira Cesar504info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALS0080-62342016000400587-en.pdfapplication/pdf262341${dspace.ui.url}/bitstream/11600/57598/1/S0080-62342016000400587-en.pdf48ba5d40d1917a01e0a3c56008307e63MD51open accessS0080-62342016000400587-pt.pdfapplication/pdf279757${dspace.ui.url}/bitstream/11600/57598/2/S0080-62342016000400587-pt.pdf706bcb121da20e60b8cf6d442171dd14MD52open accessTEXTS0080-62342016000400587-en.pdf.txtS0080-62342016000400587-en.pdf.txtExtracted texttext/plain35067${dspace.ui.url}/bitstream/11600/57598/39/S0080-62342016000400587-en.pdf.txtbfbca1cbf04af9bae3380ce02acc3dcbMD539open accessS0080-62342016000400587-pt.pdf.txtS0080-62342016000400587-pt.pdf.txtExtracted texttext/plain37614${dspace.ui.url}/bitstream/11600/57598/42/S0080-62342016000400587-pt.pdf.txt244044e3dfca3c702db4df5dd93d8530MD542open accessTHUMBNAILS0080-62342016000400587-en.pdf.jpgS0080-62342016000400587-en.pdf.jpgIM Thumbnailimage/jpeg5485${dspace.ui.url}/bitstream/11600/57598/41/S0080-62342016000400587-en.pdf.jpg08c9b7e14b8157d708c1a82c5d0fb8e7MD541open accessS0080-62342016000400587-pt.pdf.jpgS0080-62342016000400587-pt.pdf.jpgIM Thumbnailimage/jpeg5528${dspace.ui.url}/bitstream/11600/57598/44/S0080-62342016000400587-pt.pdf.jpg18d79cd16b8b1f9e975c31a4a57914e0MD544open access11600/575982023-06-05 20:03:38.88open accessoai:repositorio.unifesp.br:11600/57598Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-06-05T23:03:38Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Incidence and factors related to delirium in an Intensive Care Unit |
dc.title.alternative.pt.fl_str_mv |
Incidência e fatores relacionados ao delirium em unidade de terapia intensiva |
title |
Incidence and factors related to delirium in an Intensive Care Unit |
spellingShingle |
Incidence and factors related to delirium in an Intensive Care Unit Mori, Satomi [UNIFESP] Delírio Unidades de Terapia Intensiva Cuidados de Enfermagem Delirium Intensive Care Units Nursing Care |
title_short |
Incidence and factors related to delirium in an Intensive Care Unit |
title_full |
Incidence and factors related to delirium in an Intensive Care Unit |
title_fullStr |
Incidence and factors related to delirium in an Intensive Care Unit |
title_full_unstemmed |
Incidence and factors related to delirium in an Intensive Care Unit |
title_sort |
Incidence and factors related to delirium in an Intensive Care Unit |
author |
Mori, Satomi [UNIFESP] |
author_facet |
Mori, Satomi [UNIFESP] Tsuchihashi Takeda, Juliana Rumy [UNIFESP] Angotti Carrara, Fernanda Souza Cohrs, Cibelli Rizzo [UNIFESP] Viski Zanei, Suely Sueko [UNIFESP] Whitaker, Iveth Yamaguchi [UNIFESP] |
author_role |
author |
author2 |
Tsuchihashi Takeda, Juliana Rumy [UNIFESP] Angotti Carrara, Fernanda Souza Cohrs, Cibelli Rizzo [UNIFESP] Viski Zanei, Suely Sueko [UNIFESP] Whitaker, Iveth Yamaguchi [UNIFESP] |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Mori, Satomi [UNIFESP] Tsuchihashi Takeda, Juliana Rumy [UNIFESP] Angotti Carrara, Fernanda Souza Cohrs, Cibelli Rizzo [UNIFESP] Viski Zanei, Suely Sueko [UNIFESP] Whitaker, Iveth Yamaguchi [UNIFESP] |
dc.subject.por.fl_str_mv |
Delírio Unidades de Terapia Intensiva Cuidados de Enfermagem |
topic |
Delírio Unidades de Terapia Intensiva Cuidados de Enfermagem Delirium Intensive Care Units Nursing Care |
dc.subject.eng.fl_str_mv |
Delirium Intensive Care Units Nursing Care |
description |
Objective: To identify the incidence of delirium, compare the demographic and clinical characteristics of patients with and without delirium, and verify factors related to delirium in critical care patients. Method: Prospective cohort with a sample made up of patients hospitalized in the Intensive Care Unit (ICU) of a university hospital. Demographic, clinical variables and evaluation with the Confusion Assessment Method for Intensive Care Unit to identify delirium were processed to the univariate analysis and logistic regression to identify factors related to the occurrence of delirium. Results: Of the total 149 patients in the sample, 69 (46.3%) presented delirium during ICU stay, whose mean age, severity of illness and length of ICU stay were statistically higher. The factors related to delirium were: age, midazolam, morphine and propofol. Conclusion: Results showed high incidence of ICU delirium associated with older age, use of sedatives and analgesics, emphasizing the need for relevant nursing care to prevent and identify early, patients presenting these characteristics. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016 |
dc.date.accessioned.fl_str_mv |
2020-08-14T13:44:20Z |
dc.date.available.fl_str_mv |
2020-08-14T13:44:20Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Revista Da Escola De Enfermagem Da Usp. Cerquera Cesar, v. 50, n. 4, p. 585-591, 2016. |
dc.identifier.uri.fl_str_mv |
https://repositorio.unifesp.br/handle/11600/57598 http://dx.doi.org/10.1590/S0080-623420160000500007 |
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0080-6234 |
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10.1590/S0080-623420160000500007 |
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WOS:000385453300007 |
identifier_str_mv |
Revista Da Escola De Enfermagem Da Usp. Cerquera Cesar, v. 50, n. 4, p. 585-591, 2016. 0080-6234 S0080-62342016000400587-en.pdf S0080-62342016000400587-pt.pdf S0080-62342016000400587 10.1590/S0080-623420160000500007 WOS:000385453300007 |
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https://repositorio.unifesp.br/handle/11600/57598 http://dx.doi.org/10.1590/S0080-623420160000500007 |
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eng por |
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Revista Da Escola De Enfermagem Da Usp |
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openAccess |
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Univ Sao Paolo |
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Univ Sao Paolo |
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