Encuesta iberoamericana sobre delirium en pacientes críticos

Ceraso, Daniel; Dueñas, Carmelo; Raimondi, N.; Celis, Édgar; Carrillo, R.; Ubiergo, Sebastián Ugarte; Rodriguez, F.

doi:10.1016/j.medin.2010.04.003

Cited by 19 publications

(11 citation statements)

References 91 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(1-3) Surveys in Latin American, (4) Brazil (5) and Uruguay (6) revealed that most of the surveyed intensivists did not use a tool for delirium evaluation in their practices.…”

Section: Introductionmentioning

confidence: 99%

Delirium in a Latin American intensive care unit. A prospective cohort study of mechanically ventilated patients

Mesa¹,

Previgliano²,

Altez³

et al. 2017

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

ObjectiveTo establish the prevalence of delirium in a general intensive care unit and to identify associated factors, clinical expression and the influence on outcomes.MethodsThis was a prospective cohort study in a medical surgical intensive care unit. The Richmond Agitation-Sedation Scale and Confusion Assessment Method for the Intensive Care Unit were used daily to identify delirium in mechanically ventilated patients.ResultsIn this series, delirium prevalence was 80% (N = 184 delirious patients out of 230 patients). The number of patients according to delirium psychomotor subtypes was as follows: 11 hyperactive patients (6%), 9 hypoactive patients (5%) and 160 mixed patients (89%). Multiple logistic regression modeling using delirium as the dependent outcome variable (to study the risk factors for delirium) revealed that age > 65 years, history of alcohol consumption, and number of mechanical ventilation days were independent variables associated with the development of delirium. The multiple logistic regression model using hospital mortality as the dependent outcome variable (to study the risk factors for death) showed that severity of illness, according to the Acute Physiology and Chronic Health Evaluation II, mechanical ventilation for more than 7 days, and sedation days were all independent predictors for excess hospital mortality.ConclusionThis Latin American prospective cohort investigation confirmed specific factors important for the development of delirium and the outcome of death among general intensive care unit patients. In both analyses, we found that the duration of mechanical ventilation was a predictor of untoward outcomes.

show abstract

“…(1-3) Surveys in Latin American, (4) Brazil (5) and Uruguay (6) revealed that most of the surveyed intensivists did not use a tool for delirium evaluation in their practices.…”

Section: Introductionmentioning

confidence: 99%

Delirium in a Latin American intensive care unit. A prospective cohort study of mechanically ventilated patients

Mesa¹,

Previgliano²,

Altez³

et al. 2017

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

show abstract

“…The findings of haloperidol being the most frequently prescribed drug are in line with previous surveys in ICU and non-ICU settings (Ely et al ., 2004; Fang et al ., 2008; Van Eijk et al ., 2008; Cadogan et al ., 2009; Davis and MacLullich, 2009; Patel et al ., 2009; Ceraso et al ., 2010; Forsgren and Eriksson, 2010; Mac Sweeney et al ., 2010; Devlin et al ., 2011). The type of antipsychotics reported in our survey also confirms the data reported by Meagher (2010) on delirium experts attending a workshop of the EDA, organized to explore the attitude toward delirium pharmacotherapy.…”

Section: Discussionmentioning

confidence: 99%

“…Other surveys on delirium diagnosis and management have mainly been of healthcare providers working in an ICU (Ely et al ., 2004; Van Eijk et al ., 2008; Cadogan et al ., 2009; Patel et al ., 2009; Ceraso et al ., 2010; Forsgren and Eriksson, 2010; Mac Sweeney et al ., 2010), focusing on tools to assess for delirium, sedation practice, and the pharmacological management of delirium. Haloperidol was reported as the most commonly used drug to treat delirium, and the CAM-ICU was the most frequently used tool to assess for delirium, followed by the Intensive Care Delirium Screening Checklist.…”

Section: Discussionmentioning

confidence: 99%

Consensus and variations in opinions on delirium care: a survey of European delirium specialists

Morandi

Davis

Taylor

et al. 2013

Int. Psychogeriatr.

View full text Add to dashboard Cite

Background:There are still substantial uncertainties over best practice in delirium care. The European Delirium Association (EDA) conducted a survey of its members and other interested parties on various aspects of delirium care.Methods:The invitation to participate in the online survey was distributed among the EDA membership. The survey covered assessment, treatment of hyperactive and hypoactive delirium, and organizational management.Results:A total of 200 responses were collected (United Kingdom 28.6%, Netherlands 25.3%, Italy 15%, Switzerland 9.7%, Germany 7.1%, Spain 3.8%, Portugal 2.5%, Ireland 2.5%, Sweden 0.6%, Denmark 0.6%, Austria 0.6%, and others 3.2%). Most of the responders were doctors (80%), working in geriatrics (45%) or internal medicine (14%). Ninety-two per cent of the responders assessed patients for delirium daily. The most commonly used assessment tools were the Confusion Assessment Method (52%) and the Delirium Observation Screening Scale (30%). The first-line choice in the management of hyperactive delirium was a combination of non-pharmacological and pharmacological approaches (61%). Conversely, non-pharmacological management was the first-line choice in hypoactive delirium (67%). Delirium awareness (34%), knowledge (33%), and lack of education (13%) were the most commonly reported barriers to improving the detection of delirium. Interestingly, 63% of the responders referred patients after an episode of delirium to a follow-up clinic.Conclusions:This is the first systematic survey involving an international group of specialists in delirium. Several areas of lack of consensus were found. These results emphasise the importance of further research to improve care of this major unmet medical need.

show abstract

“…Therefore, the current study is particularly noteworthy because it provides preliminary evidence regarding delirium awareness in two groups of health care providers, which have never been considered as a target for education in previous studies. Indeed, previous surveys to evaluate delirium knowledge have been conducted in various settings of care, among doctors (Ely et al 2004;Fang et al 2008;Van Eijk et al 2008;Cadogan et al 2009;Davis and MacLullich 2009;Patel et al 2009;Ceraso et al 2010;Forsgren and Eriksson 2010;Mac Sweeney et al 2010;Devlin et al 2011;Morandi et al 2013), nurses (McCrow et al 2013, pharmacists (Devlin et al 2011), nurses and doctors (Van Eijk et al 2008), or among an audience of doctors, nurses, pharmacists, physician assistants, and respiratory care practitioners (Ely et al 2004;Patel et al 2009), but none of these surveys have specifically targeted psychologists and physiotherapists.…”

Section: Discussionmentioning

confidence: 99%

Recognition and management of delirium among doctors, nurses, physiotherapists, and psychologists: an Italian survey

Bellelli

Morandi

Zanetti

et al. 2014

Int. Psychogeriatr.

View full text Add to dashboard Cite

show abstract

Encuesta iberoamericana sobre delirium en pacientes críticos

Cited by 19 publications

References 91 publications

Delirium in a Latin American intensive care unit. A prospective cohort study of mechanically ventilated patients

Delirium in a Latin American intensive care unit. A prospective cohort study of mechanically ventilated patients

Consensus and variations in opinions on delirium care: a survey of European delirium specialists

Recognition and management of delirium among doctors, nurses, physiotherapists, and psychologists: an Italian survey

Contact Info

Product

Resources

About