Identification of delirium and subsyndromal delirium in intensive care patients.

Alessandra Soler Bastos,Taís Pagliuco Barbosa,Lúcia Marinilza Beccaria,Daniele Cristiny Da Silva

doi:10.1590/0034-7167-2017-0240

Alessandra Soler Bastos, Taís Pagliuco Barbosa + Show 2 more

Open Access

https://doi.org/10.1590/0034-7167-2017-0240

Copy DOI

Abstract

identify delirium and subsyndromal delirium in intensive care patients; age, hospitalization time, and mortality. a retrospective, quantitative study conducted in the Intensive Care Unit, using the Richmond Agitation-Sedation Scale to evaluate sedation and the Intensive Care Delirium Screening Checklist for the identification of delirium, with the participation of 157 patients. For statistical analysis, the t-test and the Chi-square test was carried out. the majority presented subsyndromal delirium (49.7%). Mortality was 21.7%. The relationship between delirium and its subsyndromal with hospitalization time was statistically significant for both (p=0.035 and p <0.001), while age was significant only in the subsyndromal delirium (p=0.009). the majority of the patients presented subsyndromal delirium. The length of hospital stay was statistically significant in delirium and subsyndroma delirium. Age was significant only in subsyndromal delirium. The mortality of patients with delirium was higher than the others.

Highlights

METHODNeurological pattern’s alteration presented by patients in the Intensive Care Unit (ICU), commonly called psychosis is nowadays more understood, being called delirium and defined as a potentially reversible acute cerebral dysfunction that develops in a short period of time(1-4).Delirium can be classified as acute, that is, one lasting for a few hours and persisting, lasting from weeks to months
Neurological pattern’s alteration presented by patients in the Intensive Care Unit (ICU), commonly called psychosis is nowadays more understood, being called delirium and defined as a potentially reversible acute cerebral dysfunction that develops in a short period of time[1,2,3,4]
This study aims to identify the presence of delirium and subsyndromal delirium in intensive care patients to relate to age, hospitalization time and to demonstrate mortality

Summary

Introduction

Neurological pattern’s alteration presented by patients in the Intensive Care Unit (ICU), commonly called psychosis is nowadays more understood, being called delirium and defined as a potentially reversible acute cerebral dysfunction that develops in a short period of time (hours or days)(1-4). Delirium can be classified as acute, that is, one lasting for a few hours and persisting, lasting from weeks to months. Hospitalized patients usually present it for about a week; some characteristics may persist even after hospital discharge. In the hyperactive form, agitation is prominent, sometimes with aggression and risk of self and hetero-aggression. The patient presents with low level of consciousness, usually prostrate and uncommunicative. The mixed form may occur, with alternation between the two poles[5]

Methods

Results

Discussion

Conclusion