Incidence Rate and Factors Associated with Delirium and Subsyndromal Delirium in Patients with COVID-19 in an Intensive Care Unit
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作者:
Perpetuo, Lara Helena
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Univ Fed Juiz De Fora, Fac Med, Programa Posgrad Saude, Assoc Hosp Bom Jesus De Congonhas, BR-36415000 Congonhas, MG, BrazilUniv Fed Juiz De Fora, Fac Med, Programa Posgrad Saude, Assoc Hosp Bom Jesus De Congonhas, BR-36415000 Congonhas, MG, Brazil
Perpetuo, Lara Helena
[1
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Ferreira, Wellington
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机构:
Univ Fed Sao Joao Del Rei, Fac Med, BR-35501296 Divinopolis, MG, BrazilUniv Fed Juiz De Fora, Fac Med, Programa Posgrad Saude, Assoc Hosp Bom Jesus De Congonhas, BR-36415000 Congonhas, MG, Brazil
Ferreira, Wellington
[2
]
da Silva, Danilo Jorge
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Univ Fed Juiz De Fora, Fac Med, Programa Posgrad Saude, BR-36036900 Juiz De Fora, MG, BrazilUniv Fed Juiz De Fora, Fac Med, Programa Posgrad Saude, Assoc Hosp Bom Jesus De Congonhas, BR-36415000 Congonhas, MG, Brazil
da Silva, Danilo Jorge
[3
]
Jurno, Mauro Eduardo
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机构:
Fac Med, Fhemig, BR-30622020 Belo Horizonte, MG, BrazilUniv Fed Juiz De Fora, Fac Med, Programa Posgrad Saude, Assoc Hosp Bom Jesus De Congonhas, BR-36415000 Congonhas, MG, Brazil
Jurno, Mauro Eduardo
[4
]
Vale, Thiago Cardoso
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Univ Fed Juiz De Fora, Fac Med, Programa Posgrad Saude, BR-36036900 Juiz De Fora, MG, BrazilUniv Fed Juiz De Fora, Fac Med, Programa Posgrad Saude, Assoc Hosp Bom Jesus De Congonhas, BR-36415000 Congonhas, MG, Brazil
Vale, Thiago Cardoso
[3
]
机构:
[1] Univ Fed Juiz De Fora, Fac Med, Programa Posgrad Saude, Assoc Hosp Bom Jesus De Congonhas, BR-36415000 Congonhas, MG, Brazil
[2] Univ Fed Sao Joao Del Rei, Fac Med, BR-35501296 Divinopolis, MG, Brazil
[3] Univ Fed Juiz De Fora, Fac Med, Programa Posgrad Saude, BR-36036900 Juiz De Fora, MG, Brazil
[4] Fac Med, Fhemig, BR-30622020 Belo Horizonte, MG, Brazil
Background: Delirium subsyndrome (SSD) and delirium (DL) are known complications in the intensive care unit (ICU) and are associated with worse clinical outcomes. The aim of this study was to screen for SSD and DL in individuals with COVID-19 admitted to the ICU and to study the associated factors and clinical outcomes. Method: An observational, longitudinal study was conducted in the reference ICU for COVID-19. All admitted individuals with COVID-19 were screened for SSD and DL during their ICU stay using the Intensive Care Delirium Screening Checklist (ICDSC). Individuals with SSD and/or DL were compared to those without SSD and/or DL. Results: Ninety-three patients were evaluated, of which 46.7% had SSD and/or DL. The incidence rate was 4.17 cases/100 person-days. Individuals with SSD and/or DL had higher severity of illness on admission to the ICU, as measured by the APACHE II score (median 16 versus 8 points, p < 0.001). SSD and/or DL were associated with longer ICU and hospital stays (median 19 versus 6 days, p < 0.001 and median 22 versus 7 days, p < 0.001, respectively). Conclusion: Individuals with SSD and/or DL had greater disease severity and longer ICU and hospital stays when compared to those without SSD and/or DL. This reinforces the importance of screening for consciousness disorders in the ICU.
机构:
Mem Hermann Mem City Med Ctr, Dept Pharm, 921 Gessner, Houston, TX 77024 USAMem Hermann Mem City Med Ctr, Dept Pharm, 921 Gessner, Houston, TX 77024 USA
Desai, Sapana
Chau, Terence
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Mem Hermann Mem City Med Ctr, Dept Pharm, 921 Gessner, Houston, TX 77024 USAMem Hermann Mem City Med Ctr, Dept Pharm, 921 Gessner, Houston, TX 77024 USA
Chau, Terence
George, Liza
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Mem Hermann Mem City Med Ctr, Dept Pharm, 921 Gessner, Houston, TX 77024 USAMem Hermann Mem City Med Ctr, Dept Pharm, 921 Gessner, Houston, TX 77024 USA
机构:
Univ Estadual Campinas, Fac Enfermagem, Programa Posgrad Enfermagem, Campinas, SP, BrazilUniv Estadual Campinas, Fac Enfermagem, Programa Posgrad Enfermagem, Campinas, SP, Brazil
Costa Carvalho, Luciana Aparecida
Lopes Correia, Marisa Dibbern
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Univ Fed Vicosa, Dept Med & Enfermagem, Vicosa, MG, BrazilUniv Estadual Campinas, Fac Enfermagem, Programa Posgrad Enfermagem, Campinas, SP, Brazil
Lopes Correia, Marisa Dibbern
Ferreira, Raisa Camilo
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Univ Estadual Campinas, Fac Enfermagem, Programa Posgrad Enfermagem, Campinas, SP, BrazilUniv Estadual Campinas, Fac Enfermagem, Programa Posgrad Enfermagem, Campinas, SP, Brazil
Ferreira, Raisa Camilo
Botelho, Micneias Lacerda
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Univ Fed Mato Grosso, Campus Sinop, Cuiaba, MT, BrazilUniv Estadual Campinas, Fac Enfermagem, Programa Posgrad Enfermagem, Campinas, SP, Brazil
Botelho, Micneias Lacerda
Ribeiro, Elaine
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Univ Estadual Campinas, Fac Enfermagem, Programa Posgrad Enfermagem, Campinas, SP, BrazilUniv Estadual Campinas, Fac Enfermagem, Programa Posgrad Enfermagem, Campinas, SP, Brazil
Ribeiro, Elaine
Marocco Duran, Erika Christiane
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Univ Estadual Campinas, Fac Enfermagem, Programa Posgrad Enfermagem, Campinas, SP, BrazilUniv Estadual Campinas, Fac Enfermagem, Programa Posgrad Enfermagem, Campinas, SP, Brazil
机构:
Osped Maggiore Policlin Milano, Area Terapie Intens SITRA, Fdn IRCCS Ca Granda, Milan, ItalyOsped Maggiore Policlin Milano, Area Terapie Intens SITRA, Fdn IRCCS Ca Granda, Milan, Italy
Binda, Filippo
Galazzi, Alessandro
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Osped Maggiore Policlin Milano, Area Terapie Intens SITRA, Fdn IRCCS Ca Granda, Milan, ItalyOsped Maggiore Policlin Milano, Area Terapie Intens SITRA, Fdn IRCCS Ca Granda, Milan, Italy
Galazzi, Alessandro
Brambilla, Alessandra
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Osped Maggiore Policlin Milano, Area Terapie Intens SITRA, Fdn IRCCS Ca Granda, Milan, ItalyOsped Maggiore Policlin Milano, Area Terapie Intens SITRA, Fdn IRCCS Ca Granda, Milan, Italy
Brambilla, Alessandra
Adamini, Ileana
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Osped Maggiore Policlin Milano, Area Terapie Intens SITRA, Fdn IRCCS Ca Granda, Milan, ItalyOsped Maggiore Policlin Milano, Area Terapie Intens SITRA, Fdn IRCCS Ca Granda, Milan, Italy
Adamini, Ileana
Laquintana, Dario
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Osped Maggiore Policlin Milano, Area Terapie Intens SITRA, Fdn IRCCS Ca Granda, Milan, ItalyOsped Maggiore Policlin Milano, Area Terapie Intens SITRA, Fdn IRCCS Ca Granda, Milan, Italy