Diagnosis of delirium in patients admitted to an Intensive Care Unit: an integrative review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/32696 |
Resumo: | Delirium in adults admitted to an intensive care unit may be related to mechanical ventilation, the use of sedatives and prolonged ICU stay, being associated with worse clinical conditions and hospital outcomes. Objectives: to investigate the diagnosis of delirium in ICU patients and how it influences the admission of these patients. Methodology: an integrative and exploratory review study. A search for studies was performed in the MEDLINE, PubMed and LILACS databases, with the following descriptors: delirium and ICU and mechanical ventilation and diagnosis. Results: 14 studies were included, being: 5 carried out in Europe, 4 in Asia, 2 in North America and 1 in South America, in addition to two bicentric studies. The severity of the dysfunction is related to older patients, with longer mechanical ventilation, longer sedation and days of hospitalization. Among the diagnostic assessment instruments, the Confusion Assessment Method for Intensive Care Unit (CAM-ICU) obtained a satisfactory response among the analyzed studies. Conclusion: the most effective strategy to reduce delirium is primary prevention, such as investment in human resources, use of non-pharmacological measures and changes in the management of the dysfunction. The correct and early diagnosis of delirium can have a positive impact on the prognosis of patients in the ICU, reducing the organic repercussions and morbidity and mortality of these patients. |
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Diagnosis of delirium in patients admitted to an Intensive Care Unit: an integrative reviewDiagnóstico de delirium en pacientes ingresados en la Unidad de Cuidados Intensivos: una revisión integrativaDiagnóstico de delirium em pacientes admitidos em Unidade de Terapia Intensiva: uma revisão integrativaDeliriumUTIVentilação mecânicaDiagnóstico.DeliriumUCIVentilación mecânicaDiagnóstico.DeliriumICUMechanical ventilationDiagnosis.Delirium in adults admitted to an intensive care unit may be related to mechanical ventilation, the use of sedatives and prolonged ICU stay, being associated with worse clinical conditions and hospital outcomes. Objectives: to investigate the diagnosis of delirium in ICU patients and how it influences the admission of these patients. Methodology: an integrative and exploratory review study. A search for studies was performed in the MEDLINE, PubMed and LILACS databases, with the following descriptors: delirium and ICU and mechanical ventilation and diagnosis. Results: 14 studies were included, being: 5 carried out in Europe, 4 in Asia, 2 in North America and 1 in South America, in addition to two bicentric studies. The severity of the dysfunction is related to older patients, with longer mechanical ventilation, longer sedation and days of hospitalization. Among the diagnostic assessment instruments, the Confusion Assessment Method for Intensive Care Unit (CAM-ICU) obtained a satisfactory response among the analyzed studies. Conclusion: the most effective strategy to reduce delirium is primary prevention, such as investment in human resources, use of non-pharmacological measures and changes in the management of the dysfunction. The correct and early diagnosis of delirium can have a positive impact on the prognosis of patients in the ICU, reducing the organic repercussions and morbidity and mortality of these patients.El delirium en adultos ingresados en una unidad de cuidados intensivos puede estar relacionado con la ventilación mecánica, el uso de sedantes y la estancia prolongada en la UCI, asociándose con peores condiciones clínicas y resultados hospitalarios. Objetivos: investigar el diagnóstico de delirium en pacientes de UCI y cómo influye en la hospitalización de estos pacientes. Metodología: estudio de revisión integradora y exploratoria. Se realizó una búsqueda de estudios en las bases de datos MEDLINE, PubMed y LILACS, con los siguientes descriptores: delirium y UCI y ventilación mecánica y diagnóstico. Resultados: Se incluyeron 14 estudios, siendo: 5 realizados en Europa, 4 en Asia, 2 en Norteamérica y 1 en Sudamérica, además de dos estudios bicéntricos. La severidad de la disfunción se relaciona con pacientes de mayor edad, con ventilación mecánica más prolongada, mayor tiempo de sedación y días de hospitalización. Entre los instrumentos de evaluación diagnóstica, el Confusion Assessment Method for Intensive Care Unit (CAM-ICU) obtuvo una respuesta satisfactoria entre los estudios analizados. Conclusión: la estrategia más efectiva para reducir el delirium es la prevención primaria, como inversión en recursos humanos, uso de medidas no farmacológicas y cambios en el manejo de la disfunción. El diagnóstico correcto y precoz del delirium puede tener un impacto positivo en el pronóstico de los pacientes en UCI, reduciendo las repercusiones orgánicas y la morbimortalidad de estos pacientes.O delirium em adultos internados em unidade de terapia intensiva pode estar relacionado à ventilação mecânica, ao uso de sedativos e ao tempo prolongado de permanência na UTI, estando associado a piores quadros clínicos e desfechos hospitalares. Objetivos: investigar o diagnóstico de delirium em pacientes internados em UTI e como ele influência no internamento desses pacientes. Metodologia: estudo de revisão integrativa e de caráter exploratório. Foi realizada uma busca por estudos nas bases de dados MEDLINE, PubMed e LILACS, com os seguintes descritores: delirium and ICU and mechanical ventilation and diagnosis. Resultados: foram incluídos 14 pesquisas, sendo: 5 realizados na Europa, 4 na Ásia, 2 na América do Norte e 1 na América do Sul, além de dois estudos bicêntricos. A gravidade da disfunção está relacionada com pacientes com idade mais avançada, com maior tempo de ventilação mecânica, com maior tempo de sedação e dias de internamento. Entre os instrumentos de avaliação diagnostica, o Confusion Assessment Method for Intensive Care Unit (CAM-ICU) obteve resposta satisfatória entre as pesquisas analisadas. Conclusão: a estratégia mais eficaz para redução de delirium é a prevenção primária, como investimento em recursos humanos, uso de medidas não farmacológicas e mudanças no manejo da disfunção. O diagnóstico correto e precoce de delirium pode trazer impacto positivo no prognóstico dos pacientes em UTI, minorando as repercussões orgânicas e a morbimortalidade desses pacientes.Research, Society and Development2022-07-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3269610.33448/rsd-v11i10.32696Research, Society and Development; Vol. 11 No. 10; e161111032696Research, Society and Development; Vol. 11 Núm. 10; e161111032696Research, Society and Development; v. 11 n. 10; e1611110326962525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/32696/27648Copyright (c) 2022 Flávia Cristina Osaku Minella; Salim Abib Attuch de Mello Neto; Erica Fernanda Osaku; Claudia Rejane Lima de Macedo Costa; Thiago Giancursihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMinella, Flávia Cristina Osaku Mello Neto, Salim Abib Attuch deOsaku, Erica Fernanda Costa, Claudia Rejane Lima de MacedoGiancursi, Thiago2022-08-12T22:23:03Zoai:ojs.pkp.sfu.ca:article/32696Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:48:36.330479Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Diagnosis of delirium in patients admitted to an Intensive Care Unit: an integrative review Diagnóstico de delirium en pacientes ingresados en la Unidad de Cuidados Intensivos: una revisión integrativa Diagnóstico de delirium em pacientes admitidos em Unidade de Terapia Intensiva: uma revisão integrativa |
title |
Diagnosis of delirium in patients admitted to an Intensive Care Unit: an integrative review |
spellingShingle |
Diagnosis of delirium in patients admitted to an Intensive Care Unit: an integrative review Minella, Flávia Cristina Osaku Delirium UTI Ventilação mecânica Diagnóstico. Delirium UCI Ventilación mecânica Diagnóstico. Delirium ICU Mechanical ventilation Diagnosis. |
title_short |
Diagnosis of delirium in patients admitted to an Intensive Care Unit: an integrative review |
title_full |
Diagnosis of delirium in patients admitted to an Intensive Care Unit: an integrative review |
title_fullStr |
Diagnosis of delirium in patients admitted to an Intensive Care Unit: an integrative review |
title_full_unstemmed |
Diagnosis of delirium in patients admitted to an Intensive Care Unit: an integrative review |
title_sort |
Diagnosis of delirium in patients admitted to an Intensive Care Unit: an integrative review |
author |
Minella, Flávia Cristina Osaku |
author_facet |
Minella, Flávia Cristina Osaku Mello Neto, Salim Abib Attuch de Osaku, Erica Fernanda Costa, Claudia Rejane Lima de Macedo Giancursi, Thiago |
author_role |
author |
author2 |
Mello Neto, Salim Abib Attuch de Osaku, Erica Fernanda Costa, Claudia Rejane Lima de Macedo Giancursi, Thiago |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Minella, Flávia Cristina Osaku Mello Neto, Salim Abib Attuch de Osaku, Erica Fernanda Costa, Claudia Rejane Lima de Macedo Giancursi, Thiago |
dc.subject.por.fl_str_mv |
Delirium UTI Ventilação mecânica Diagnóstico. Delirium UCI Ventilación mecânica Diagnóstico. Delirium ICU Mechanical ventilation Diagnosis. |
topic |
Delirium UTI Ventilação mecânica Diagnóstico. Delirium UCI Ventilación mecânica Diagnóstico. Delirium ICU Mechanical ventilation Diagnosis. |
description |
Delirium in adults admitted to an intensive care unit may be related to mechanical ventilation, the use of sedatives and prolonged ICU stay, being associated with worse clinical conditions and hospital outcomes. Objectives: to investigate the diagnosis of delirium in ICU patients and how it influences the admission of these patients. Methodology: an integrative and exploratory review study. A search for studies was performed in the MEDLINE, PubMed and LILACS databases, with the following descriptors: delirium and ICU and mechanical ventilation and diagnosis. Results: 14 studies were included, being: 5 carried out in Europe, 4 in Asia, 2 in North America and 1 in South America, in addition to two bicentric studies. The severity of the dysfunction is related to older patients, with longer mechanical ventilation, longer sedation and days of hospitalization. Among the diagnostic assessment instruments, the Confusion Assessment Method for Intensive Care Unit (CAM-ICU) obtained a satisfactory response among the analyzed studies. Conclusion: the most effective strategy to reduce delirium is primary prevention, such as investment in human resources, use of non-pharmacological measures and changes in the management of the dysfunction. The correct and early diagnosis of delirium can have a positive impact on the prognosis of patients in the ICU, reducing the organic repercussions and morbidity and mortality of these patients. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-07-26 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/32696 10.33448/rsd-v11i10.32696 |
url |
https://rsdjournal.org/index.php/rsd/article/view/32696 |
identifier_str_mv |
10.33448/rsd-v11i10.32696 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/32696/27648 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 10; e161111032696 Research, Society and Development; Vol. 11 Núm. 10; e161111032696 Research, Society and Development; v. 11 n. 10; e161111032696 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052719012249600 |