Risk factors for the incidence of delirium in cerebrovascular patients in a neurosurgery intensive care unit (ICU): a prospective study.

Risk factors for the incidence of delirium in cerebrovascular patients in a neurosurgery intensive care unit (ICU): a prospective study.

J Clin Nurs. 2017 Jul 05;:

Authors: Wang J, Ji Y, Wang N, Chen W, Bao Y, Qin Q, Xiao Q, Li S

Abstract
AIMS AND OBJECTIVES: To explore the incidence of delirium in cerebrovascular patients admitted in our Neurosurgery Intensive Care Unit (NICU) and analyze the risk factors leading to delirium.
BACKGROUND: Delirium is one of the most common mental disorders in general hospitals, but the incidence of different kinds of diseases and studies varies. Cerebrovascular patients in our NICU are high-risk groups for delirium; identifying risk factors for delirium and taking early interventions are crucial for patient prognosis.
DESIGN: A prospective study.
METHODS: A convenience sampling method was used to collect data from 128 patients in the NICU of Xuanwu Hospital, Capital Medical University, Beijing, China, between May 2016 and January 2017. Researchers used CAM-ICU (Chinese version) to assess each patient's delirium statement twice a day at regular times. We also collected other independent data variables and followed up the short-term clinical outcomes daily.
RESULTS: On the basis of CAM-ICU evaluation, patients were divided into a delirium group and a non-delirium group. The prevalence of delirium among the 128 patients was 42.2%. Multivariate analysis showed that severity of illness, fever, the use of physical restraints, and sleep deprivation were independent predictors of delirium in cerebrovascular patients in the NICU.
CONCLUSIONS: Cerebrovascular patients in the NICU with a critical condition, fever, use of physical restraints, or experiencing sleep deprivation were more prone to delirium. This article is protected by copyright. All rights reserved.

PMID: 28677160 [PubMed - as supplied by publisher]

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