Prevalence, risk factors and outcome of delirium in intensive care unit
Journal Title: Indian Journal of Neurosciences - Year 2018, Vol 4, Issue 2
Abstract
Introduction Delirium causes serious inhospital morbidityAims Prevalence risk factors and outcome of delirium were studied in a medical ICUMaterials and Methods This prospective study in the medical ICU identified delirium by CAM Confusion Assessment Method Comorbidities were assessed by Charlson Comorbidity Index Sociodemographics clinical parameters and outcome required a structured questionnaire Data was analyzed using chi square test Pearson correlation and independent sample t testResults Of 467 patients assessed 101satisfied CAM diagnosis of delirium prevalence216 Females predominated 515 average age was 596 years Acute exacerbation of chronic obstructive pulmonary disease COPD was the most common illness diabetes mellitus 584 followed by hypertension 178 the most common comorbidities Leukocytosis raised serum creatinine and abnormal EEG were observed 772 had nasogastric feeding 228 needed ventilator support762 of patients were on some medication Delirium was hyperactive in 782 idiopathic in 386 Hypoactive delirium the least common was associated with acute pulmonary oedema and sepsis 513 p0009 Delirium resolved completely in 802 Mortality rate was 139 786 patients died within 72 hours p0008 death was increased in those with respiratory findings p001 and ventilator plt0001Conclusion A high prevalence of delirium was found in the Medical ICU This was mostly hyperactive and idiopathic Hypoactive delirium the least common was found associated with acute pulmonary oedema sepsis Acute exacerbation of COPD was the most common cause Those with respiratory findings and on ventilator had higher mortalityKeywords Delirium Intensive care Hypoactive delirium Ventilator Mortality
Authors and Affiliations
Vijayalekshmi . S, Krishnadas . N C, Rajmohan Velayudhan, Krishnan . R
Keywords
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- EP ID EP490432
- DOI 10.18231/2455-8451.2018.0019
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