Delirium in intensive care: an under-diagnosed reality

Faria, Rita; Moreno, Rui P.

doi:10.5935/0103-507x.20130025

Cited by 37 publications

(47 citation statements)

References 69 publications

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“…Delirium increases the time of mechanical ventilation, hospital stay and patient mortality. Subsyndrome also appears in recent studies, with a significant association with the length of hospital stay in the ICU and hospital, causing greater patient dependence after discharge, however, without association with mortality, and not presenting itself as a marker of disease severity, but as a risk factor for patients (1,(3)(4)(5)(6) .…”

Section: Introductionmentioning

confidence: 94%

“…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)(2)(3)(4) .…”

Section: Introductionmentioning

confidence: 99%

“…In 2014, the 5 th version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) was published, in which the definition of subsyndromal delirium was described. According to this manual, subsyndromal conditions are those that do not meet all the criteria for a medical diagnosis, because the signs appear in a smaller number, that is, in the subsyndromal, patients have one to three signs of delirium, but they do not characterize the diagnosis as clinical (4)(5) .…”

Section: Introductionmentioning

confidence: 99%

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Identification of delirium and subsyndromal delirium in intensive care patients

et al. 2019

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Objective: identify delirium and subsyndromal delirium in intensive care patients; age, hospitalization time, and mortality. Method: 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. Results: 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). Conclusion: 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.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Identification of delirium and subsyndromal delirium in intensive care patients

et al. 2019

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“…(1,2,5,29,30) Different strategies have been studied for the prevention and treatment of ICU delirium . They are grouped into non-pharmacological and pharmacological interventions.…”

Section: Introductionmentioning

confidence: 99%

Cognitive stimulation and occupational therapy for delirium prevention

Tobar¹,

Álvarez²,

Garrido³

2017

Revista Brasileira De Terapia Intensiva

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Delirium is a relevant condition in critically ill patients with long-term impacts on mortality, cognitive and functional status and quality of life. Despite the progress in its diagnosis, prevention and management during the last years, its impact persists being relevant, so new preventive and therapeutic strategies need to be explored. Among non-pharmacologic preventive strategies, recent reports suggest a role for occupational therapy through a series of interventions that may impact the development of delirium. The aim of this review is to evaluate the studies evaluating the role of occupational therapy in the prevention of delirium in critically ill patient populations, and suggests perspectives to future research in this area.

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“…3 Delirium is associated with increased mortality and with long-term sequelae, for example, post-ICU cognitive impairment. 26,27 Identification of delirium is crucial to identify reversible precipitants and to implement environmental measures. Nevertheless, delirium is often not diagnosed in patients on mechanical ventilation.…”

Section: Agitation and Deliriummentioning

confidence: 99%

Supportive Care of Patients on Mechanical Ventilation

et al. 2018

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The paradigm of supportive care of patients who are critically ill has changed significantly over the past 20 years. Patients on mechanical ventilation are no longer heavily sedated; the goal is a comfortable patient who can interact with health-care professionals and with their family members. Systematic, regular assessment of the patient for pain, anxiety, and sleep deprivation allows early recognition of these distressing symptoms. Appropriate treatment of patients' symptoms should be based on a multimodal pharmacologic and non-pharmacologic approach. Early mobilization and avoidance of physical restraint are additional patient-centered goals. The presence of family members during daily rounds and at the bedside can reduce the distress of the patient and enhance communication with the health-care team. All of these changes have created new challenges and opportunities for the multidisciplinary health-care team. This review aimed to describe the main components of evidence-based supportive care of patients on mechanical ventilation, beyond the specific settings of the ventilator.

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Delirium in intensive care: an under-diagnosed reality

Cited by 37 publications

References 69 publications

Identification of delirium and subsyndromal delirium in intensive care patients

Identification of delirium and subsyndromal delirium in intensive care patients

Cognitive stimulation and occupational therapy for delirium prevention

Supportive Care of Patients on Mechanical Ventilation

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