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"delirium"

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"delirium"

Original Articles

Critical care, Nursing

Characteristics and Risk Factors for Delirium in The Surgical Step-Down Unit
Soyeon Yoon, Jinjoo Kim, Yoon Jung An, Jeonghui Ok, Yooun-Joong Jung
J Acute Care Surg 2023;13(3):124-130.   Published online November 23, 2023
DOI: https://doi.org/10.17479/jacs.2023.13.3.124
Purpose
This study aimed to investigate the incidence rate, types and risk factors for delirium in patients admitted to the surgical Step-Down Unit (SDU).
Methods
This study was a retrospective study of the electronic medical records of patients admitted to a surgical SDU from February 2020 to July 2020. The delirium assessment was conducted using the short Confusion Assessment Method (a tool that allows quick and easy screening of delirium) and the incidence and risk factors for delirium were determined.
Results
Among a total of 227 patients in the study, the incidence rate of delirium was 35 cases (16.7%). It predominantly occurred on the first day (n = 16, 45.7%) and the second day of admission (n = 15, 42.8%). The peak occurrence of delirium was between 14:00 and 22:00 (n = 30, 85.7%). The most common type of delirium was hypoactive (n = 19, 54.3%). The results of multiple logistic regression analysis indicated that the factors influencing the occurrence of delirium in the surgical step down unit (SDU) were age, hypertension, stroke, white blood cell count, and the use of restraints.
Conclusion
Considering the characteristics of high-risk groups for delirium in the surgical SDU, it is necessary to establish nursing practice guidelines to minimize delirium.

Citations

Citations to this article as recorded by  
  • A Systems Biology Approach to Understanding Delirium Pathophysiology and Identifying Natural Compounds for Potential Therapeutic Purposes
    Babak Sokouti
    OBM Neurobiology.2025; 09(01): 1.     CrossRef
  • 3,617 View
  • 42 Download
  • 1 Crossref

Critical care

The Incidence and Impact of Abdominal Surgery on Delirium in Abdominal Trauma Patients
Hyun Seok Roh, Yun Cheol Park, Young Goun Jo, Jung Chul Kim
J Acute Care Surg 2020;10(2):42-46.   Published online July 24, 2020
DOI: https://doi.org/10.17479/jacs.2020.10.2.42
Purpose
The occurrence of trauma-related delirium following postoperative abdominal surgery is associated with a poor prognosis. The purpose of this study was to identify predictive risk factors for trauma-related delirium.
Methods
Trauma patient data from a regional trauma center were retrospectively collected from August 2015 to December 2016. The primary inclusion criteria were patients diagnosed with traumarelated delirium following abdominal trauma surgery. Head trauma patients and those under 18 years of age were excluded from this study. A multivariate logistic regression analysis was performed to identify the risk factors associated with trauma-related delirium.
Results
Of the 255 trauma patients who met the inclusion criteria, 32 (12.5%) were diagnosed with delirium. The mean values for the age of the patients, Injury Severity Score, Glasgow Coma Scale score, and length of intensive care unit stay were 52.1 ± 17.8 years, 16.9, 14, and 7.1 days, respectively. Among the measured parameters, age [odds ratio (OR), 1.03; 95% confidence interval (CI), 1.01-1.06; p = 0.022)], sex (OR, 0.125; 0.03-0.55; p = 0.006), hemoglobin level (OR, 0.875; CI, 0.68-0.98; p = 0.03), length of stay in the intensive care unit (OR, 1.12; CI, 1.03-1.22; p = 0.01), and having an abdominal operation (OR, 2.92; CI, 1.10-7.23; p = 0.011) showed strong correlations with trauma-related delirium.
Conclusion
This study showed that abdominal surgery was strongly associated with delirium in patients with traumatic abdominal injury. Thus, changes in consciousness should be carefully monitored following surgery.

Citations

Citations to this article as recorded by  
  • Management and Outcomes of Traumatic Liver Injury: A Retrospective Analysis from a Tertiary Care Center Experience
    Tariq Alanezi, Abdulmajeed Altoijry, Aued Alanazi, Ziyad Aljofan, Talal Altuwaijri, Kaisor Iqbal, Sultan AlSheikh, Nouran Molla, Mansour Altuwaijri, Abdullah Aloraini, Fawaz Altuwaijri, Mohammed Yousef Aldossary
    Healthcare.2024; 12(2): 131.     CrossRef
  • 5,309 View
  • 88 Download
  • 1 Crossref
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