Correction to: The future of intensive care: delirium should no longer be an issue

Kotfis, Katarzyna; Diem-Zaal, Irene J van; Roberson, Shawniqua Williams; Sietnicki, Marek; Boogaard, Mark van den; Shehabi, Yahya; Ely, E. Wesley

doi:10.1186/s13054-022-04128-4

Cited by 4 publications

(1 citation statement)

References 1 publication

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“…In particular, older cardiothoracic surgery patient appears to be resistant to intervention in the ICU, even when other similar-aged surgical patients can have the risk of reduced post-operative delirium (43). Importantly, several significant organizational and design changes to the intensive care setting have been proposed, as "the future of intensive care: delirium should no longer be an issue" (73).…”

Section: Implications For Clinical Practicementioning

confidence: 99%

Delirium in the intensive care unit and its importance in the post-operative context: A review

2023

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The burden of delirium in the intensive care setting is a global priority. Delirium affects up to 80% of patients in intensive care units; an episode of delirium is often distressing to patients and their families, and delirium in patients within, or outside of, the intensive care unit (ICU) setting is associated with poor outcomes. In the short term, such poor outcomes include longer stay in intensive care, longer hospital stay, increased risk of other hospital-acquired complications, and increased risk of hospital mortality. Longer term sequelae include cognitive impairment and functional dependency. While medical category of admission may be a risk factor for poor outcomes in critical care populations, outcomes for surgical ICU admissions are also poor, with dependency at hospital discharge exceeding 30% and increased risk of in-hospital mortality, particularly in vulnerable groups, with high-risk procedures, and resource-scarce settings. A practical approach to delirium prevention and management in the ICU setting is likely to require a multi-faceted approach. Given the good evidence for the prevention of delirium among older post-operative outside of the intensive care setting, simple non-pharmacological interventions should be effective among older adults post-operatively who are cared for in the intensive care setting. In response to this, the future ICU environment will have a range of organizational and distinct environmental characteristics that are directly targeted at preventing delirium.

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Section: Implications For Clinical Practicementioning

confidence: 99%

Delirium in the intensive care unit and its importance in the post-operative context: A review

2023

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Physical and Functional Recovery of Critically Ill Patients

Martinez-Alejos,

Martì,

Pelosi

et al. 2024

Nutrition, Metabolism and Kidney Support

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Analysis of the status and influencing factors of dignity impairment symptoms in critically ill patients after ICU treatment

Du,

Peng,

et al. 2024

Sci Rep

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To investigate the status of dignity impairment symptoms in critically ill patients after ICU treatment and conduct a systematic analysis of its influencing factors, aiming to provide reference for clinical medical decision-making by healthcare professionals. A cross-sectional survey study. From April 15th to 21st, 2024, a cross-sectional survey was conducted in 40 tertiary Grade A comprehensive hospitals in 9 provinces, municipalities, and autonomous regions including Sichuan Province, Zhejiang Province, and Chongqing Municipality. Various critically ill patients who were admitted to ICU treatment were surveyed using a general information questionnaire and the Dignity Inventory. A total of 346 questionnaires were collected in this survey, with 333 valid questionnaires and an effective response rate of 96%. The incidence rate of dignity impairment symptoms in critically ill patients after ICU treatment was 39%. Multifactor logistic regression analysis showed that age [OR = 1.124, 95%CI=(1.067–1.184)], frequency of visits [OR = 1.875, 95%CI=(1.075–3.269)], length of ICU stay [OR = 1.352, 95%CI=(1.108–1.649)], and tracheotomy upon discharge [OR = 2.269, 95%CI=(1.273–4.044)] were risk factors for dignity impairment symptoms in critically ill patients after ICU treatment. Number of children [OR = 0.247, 95%CI=(0.106–0.576)] was a protective factor for dignity impairment symptoms in critically ill patients after ICU treatment. Although the incidence of dignity impairment symptoms in critically ill patients after ICU treatment is relatively low, the psychological trauma it causes cannot be ignored. Healthcare professionals must actively establish and improve its prevention and management system.

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Correction to: The future of intensive care: delirium should no longer be an issue

Cited by 4 publications

References 1 publication

Delirium in the intensive care unit and its importance in the post-operative context: A review

Delirium in the intensive care unit and its importance in the post-operative context: A review

Physical and Functional Recovery of Critically Ill Patients

Analysis of the status and influencing factors of dignity impairment symptoms in critically ill patients after ICU treatment

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