| Author | Serafim, R. B. | |
| Author | Dutra, M. F. | |
| Author | Saddy, F. | |
| Author | Tura, B. | |
| Author | Castro, J. E. de | |
| Author | Villarinho, L. C. | |
| Author | Santos, M. da Gloria | |
| Author | Bozza, Fernando A. | |
| Author | Rocco, J. R. | |
| Access date | 2019-07-09T22:59:48Z | |
| Available date | 2019-07-09T22:59:48Z | |
| Document date | 2012 | |
| Citation | 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. | pt_BR |
| ISSN | 2110-5820 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/33935 | |
| Language | eng | pt_BR |
| Publisher | BMC | pt_BR |
| Rights | open access | pt_BR |
| Title | Delirium in postoperative nonventilated intensive care patients: risk factors and outcomes | pt_BR |
| Type | Article | pt_BR |
| DOI | 10.1186/2110-5820-2-51 | pt_BR |
| Abstract | 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. | pt_BR |
| Affilliation | 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. | pt_BR |
| Affilliation | Copa D’Or Hospital. Surgical Intensive Care Unit. Rio de Janeiro, RJ, Brazil. | pt_BR |
| Affilliation | Copa D’Or Hospital. Ventilatory Intensive Care Unit. Rio de Janeiro, RJ, Brazil. | pt_BR |
| Affilliation | D’Or Institute of Research and Education. Rio de Janeiro, RJ, Brazil | pt_BR |
| Affilliation | Copa D’Or Hospital. Ventilatory Intensive Care Unit. Rio de Janeiro, RJ, Brazil. | pt_BR |
| Affilliation | Copa D’Or Hospital. Ventilatory Intensive Care Unit. Rio de Janeiro, RJ, Brazil. | pt_BR |
| Affilliation | Copa D’Or Hospital. Ventilatory Intensive Care Unit. Rio de Janeiro, RJ, Brazil. | pt_BR |
| Affilliation | 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. | pt_BR |
| Affilliation | Federal University of Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Department of Internal Medicine and Post-graduated Program. Rio de Janeiro, RJ, Brazil. | pt_BR |
| Subject | Delirium | pt_BR |
| Subject | Postoperative | pt_BR |
| Subject | Surgery | pt_BR |
| Subject | Confusion assessment method | pt_BR |
| e-ISSN | 2110-5820 | |
