RESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Adulto , Metástasis de la Neoplasia/diagnóstico , Neoplasias Pulmonares/diagnóstico , Calcinosis/diagnóstico , Hormona ParatiroideaRESUMEN
Delirium has been documented as a common and serious problem in hospital settings, but its recognition in critically ill patients is made difficult by the inability to interview intubated patients and by the presence of drugs. The objectives of this study were to describe the incidence of delirium in the Intensive Care Unit (ICU) and to determine some of the risk factors. It is an analytical, observational and prospective study in an 8-bed general ICU. The participants were 112 consecutive patients aged 18 and older admitted to the ICU for three or more days. Drug consumers and patients with psychiatric disease or cerebral disease were excluded. Daily ratings of the Intensive Care Delirium Screening Checklist (ICDSC) were made by the staff nurses. Other data such as patient's diseases, drug prescriptions and APACHE II were collected. Delirium was present in 11 out of 100 patients-day. APACHE II > or = 15, sedative drugs and mechanical ventilation were risk factors for delirium in ICU. The conclusions of this study have determined that delirium is a frequent complication in ICU and that severity of illness, sedative drugs and being intubated are risk factors. Moreover, screening for delirium in the ICU with a validated scale can be made by the staff nurses.
Asunto(s)
Delirio/epidemiología , Anciano , Femenino , Humanos , Incidencia , Unidades de Cuidados Intensivos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Factores de RiesgoRESUMEN
El delirio ha sido reconocido como un común y serio problema en las áreas de hospitalización, pero su diagnóstico en pacientes críticos es dificultoso debido a la imposibilidad de interrogar al paciente intubado y a la presencia de sedantes. Los objetivos de este estudio son describir la incidencia del delirio en la Unidad de Cuidados Intensivos (UCI) y determinar algunos de los factores de riesgo. Es un estudio analítico, observacional y prospectivo llevado a cabo en una UCI polivalente de ocho camas. La muestra fue de 112 pacientes consecutivos, mayores de 18 años y con estancia igual o superior a 3 días. Se excluyeron los consumidores de sustancias psicoactivas, enfermedad psiquiátrica o enfermedad del sistema nervioso central. Se llevaron a cabo mediciones diarias de la Escala de Delirio en UCI (Bergeron) realizadas por las enfermeras y se recogieron datos de enfermedades asociadas, medicación prescrita e índice pronóstico APACHE II. Se obtuvo una tasa de incidencia de 11 casos de delirio/100 pacientes-día. APACHE II $ 15, sedación, relajación muscular y ventilación mecánica son factores de riesgo para la aparición de delirio en la UCI. Se concluye que el delirio es una complicación frecuente en la UCI y que la gravedad del paciente, los fármacos sedantes y el estar intubado son factores que guardan relación con su aparición. Por otra parte, queda demostrado que el diagnóstico de delirio mediante una escala validada puede llevarse a cabo por el personal de enfermería
Delirium has been documented as a common and serious problem in hospital settings, but its recognition in critically ill patients is made difficult by the inability to interview intubated patients and by the presence of drugs. The objectives of this study were to describe the incidence of delirium in the Intensive Care Unit (ICU) and to determine some of the risk factors. It is an analytical, observational and prospective study in an 8-bed general ICU. The participants were 112 consecutive patients aged 18 and older admitted to the ICU for three or more days. Drug consumers and patients with psychiatric disease or cerebral disease were excluded. Daily ratings of the Intensive Care Delirium Screening Checklist (ICDSC) were made by the staff nurses. Other data such as patient's diseases, drug prescriptions and APACHE II were collected. Delirium was present in 11 out of 100 patients-day. APACHE II $ 15, sedative drugs and mechanical ventilation were risk factors for delirium in ICU. The conclusions of this study have determined that delirium is a frequent complication in ICU and that severity of illness, sedative drugs and being intubated are risk factors. Moreover, screening for delirium in the ICU with a validated scale can be made by the staff nurses
