Factores asociados con el delírium en pacientes críticos de una institución de salud de Bucaramanga, Colombia

Contreras, Claudia Consuelo Torres; Esteban, Astrid Nathalia Páez; Castillo, A. Hinestrosa-Díaz del; Rincón-Romero, M.K.; Amaris-Vega, A.; Martínez-Patiño, J.P.

doi:10.1016/j.enfi.2018.03.002

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…The PRE-DELIRIC model was then applied in its version validated into Spanish (8) , which examines the following factors: age, acute physiology and chronic health evaluation score (APACHE II), coma, urgent admission to the ICU, cause of admission, infection, use of sedatives, use of morphine in three dosage groups, serum urea and metabolic acidosis.…”

Section: Data Collectionmentioning

confidence: 99%

“…The precipitating factors are those that trigger delirium and are modifiable such as the introduction or withdrawal of drugs, sleep disturbances, environmental factors, diseases and surgeries (6) . Any or the sum of these factors can trigger delirium, which constitutes a focus of attention of health personnel, especially nurses who are key in the recognition and prevention of predisposing factors (7)(8) .…”

Section: Introductionmentioning

confidence: 99%

“…The PRE-DELIRIC model has been internationally validated (5) , but its true predictive value may vary from one ICU to another. For this reason, a validation into Spanish was performed which determined the discriminatory capacity of the PRE-DELIRIC prediction model, with an area under the ROC curve of 85.4% with 95% confidence intervals from 77.6% to 93.3%, which defines it as effective, capable of successfully predicting and classifying the outcome of delirium or no delirium in approximately 8-9 out of 10 patients (8) . This classification of patients into risk groups allows the efficient initiation of preventive measures (5) .…”

Section: Introductionmentioning

confidence: 99%

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Nursing intervention to prevent delirium in critically ill adults

Contreras

Esteban

Rincón-Romero

et al. 2021

Rev. esc. enferm. USP

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Objective: To determine the effectiveness of a nursing intervention for delirium prevention in critically ill patients. Method: A quasi-experimental study was conducted with a non-equivalent control group and with evaluation before and after the intervention. 157 Patients were part of the intervention group and 134 of the control group. Patients were followed-up until they were discharged from the ICU or died. The incidence of delirium in both groups was compared. Additionally, the effect measures were adjusted for the propensity score. Results: The incidence and incidence rate of delirium in the control group were 20.1% and 33.1 per 1000 person-days (CI 95% 22.7 to 48.3) and in the intervention group was 0.6% and 0.64 per 1000 person-days (CI 95% 0.22 to 11.09), respectively. The crude Hazard Ratio was 0.06 (CI 95% 0,008 to 0,45) and adjusted 0.07 (CI 95% 0,009 to 0,60). The number needed to be treated was six. Conclusion: Low incidence of delirium in critically ill patients intervened demonstrated the effectiveness of interventions. The average intervention time was 4 days with a 15-minutes dedication for each patient.

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Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nursing intervention to prevent delirium in critically ill adults

Contreras

Esteban

Rincón-Romero

et al. 2021

Rev. esc. enferm. USP

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Intervenciones y efectividad del Paquete ABCDEF en el tratamiento de delirium: revisión de alcance

Tovar

Castaño

2021

Av. enferm.

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Objetivo: describir las intervenciones de cada componente del paquete ABCDEF y su efectividad para prevenir y tratar el delirium en pacientes hospitalizados en cuidados intensivos. Síntesis de contenido: se realizó una revisión de alcance empleando los términos MeSH delirium e intensive care units, agregando ABCDEF con el operador AND, en las bases de datos Medline, ScienceDirect, Biblioteca Virtual de Salud y Scopus. Se seleccionó un total de 23 artículos según los criterios de inclusión establecidos. Entre estos, se logró identificar intervenciones para el control del dolor (A), el despertar y la respiración espontánea (B), sedación de la analgesia y sedación (C), monitorización del delirium (D), movilidad temprana (E) y el empoderamiento de la familia (F). Todo el paquete ABCDEF y sus componentes mostraron efectividad en la reducción de la incidencia y duración del delirium, así como de los días de ventilación mecánica y de la mortalidad. Conclusiones: las intervenciones del paquete ABCDEF identificadas fueron la monitorización del dolor y su control con fármacos y relajación; la implementación del protocolo de despertar y respiración espontánea, según criterios de seguridad; la administración de analgesia antes de la sedación —siendo esta última nula o mínima—, monitorizando el estado de conciencia y profundidad de la sedación con escalas validadas y monitorizando el delirium al menos una vez al día; movilización temprana, progresiva y al máximo potencial que se pueda lograr; y la vinculación de la familia en las rondas, en el cuidado básico y en la prevención del delirium.

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