Accuracy of delirium risk factors in adult intensive care unit patients

被引:4
|
作者
Costa Carvalho, Luciana Aparecida [1 ]
Lopes Correia, Marisa Dibbern [2 ]
Ferreira, Raisa Camilo [1 ]
Botelho, Micneias Lacerda [3 ]
Ribeiro, Elaine [1 ]
Marocco Duran, Erika Christiane [1 ]
机构
[1] Univ Estadual Campinas, Fac Enfermagem, Programa Posgrad Enfermagem, Campinas, SP, Brazil
[2] Univ Fed Vicosa, Dept Med & Enfermagem, Vicosa, MG, Brazil
[3] Univ Fed Mato Grosso, Campus Sinop, Cuiaba, MT, Brazil
关键词
Delirium; Risk Factors; Hospitalization; Intensive Care Units; Data Accuracy; POSTOPERATIVE DELIRIUM; ELDERLY-PATIENTS; RELIABILITY; VALIDITY;
D O I
10.1590/1980-220X-REEUSP-2021-0222
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: To assess the accuracy measurements for predisposing and precipitating Risk Factors for delirium in an adult Intensive Care Unit. Method: Cohort, prospective study with patients over 18 who had been hospitalized for over 24 hours and were able to communicate. The patients were assessed once a day until the onset of delirium or permanence in the Intensive Care Unit. Instruments were employed to track delirium, characterize the sample, and identify the risk factors. Descriptive statistics was employed for sample characterization and accuracy tests for risk factors. Results: The included patients amounted to 102, 31 of which presented delirium. The predisposing predictive risk factors were hypoalbuminemia, American Society of Anesthesiology over three, severity, altered tissue perfusion, dehydration, and being a male, whereas precipitating predictive factors were physical restraint, infection, pharmacological agent, polypharmacy, anemia, altered renal function, dehydration, invasive devices, altered tissue perfusion and altered quality and quantity of sleep. Conclusion: An accurate identification of predisposing and precipitating risk factors may contribute to planning preventive measures against delirium.
引用
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页数:8
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