Delirium in postoperative nonventilated intensive care patients: Risk factors and outcomes

Annals of Intensive Care

Volumn 2, Issue 1, 2012, Pages 1-6

  Serafim, Rodrigo Bernardo ^a,b,c   Dutra, Maximiliano F ^a   Saddy, Felipe ^a   Tura, Bernardo ^b   de Castro, Jose Eduardo Couto ^a   Villarinho, Luciana C ^a   Santos, Maria da Gloria ^a   Bozza, Fernando Augusto ^b,d   Rocco, José Rodolfo ^c  

^a Hospital Copa D'Or   (Brazil)

^b D OR INSTITUTE FOR RESEARCH AND EDUCATION IDOR   (Brazil)

^c FEDERAL UNIVERSITY OF RIO DE JANEIRO   (Brazil)

^d Funda??o Oswaldo Cruz   (Brazil)

Author keywords

Confusion assessment method; Delirium; Postoperative; Surgery

Indexed keywords

BENZODIAZEPINE;

ADULT; AGE; AGED; ARTICLE; CONTROLLED STUDY; EMERGENCY SURGERY; FEMALE; HOSPITAL ADMISSION; HUMAN; INJURY; INTENSIVE CARE; INTENSIVE CARE PSYCHOSIS; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORTALITY; PRIORITY JOURNAL; PROGNOSIS; PROSPECTIVE STUDY; RISK ASSESSMENT;

EID: 84875315421     PISSN: None     EISSN: 21105820     Source Type: Journal    
DOI: 10.1186/2110-5820-2-51     Document Type: Article

References (28)

1. Ely EW, Shintani A, Truman B, Speroff T, Gordon SM, Harrell FE Jr, Inouye SK, Bernard GR, Dittus RS: Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 2004, 291:1753-1762.
2. Girard TD, Jackson JC, Pandharipande PP, Pun BT, Thompson JL, Shintani AK, Gordon SM, Canonico AE, Dittus RS, Bernard GR, Ely EW: Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. Crit Care Med 2010, 38:1513-1520.
3. Salluh JI, Soares M, Teles JM, Ceraso D, Raimondi N, Nava VS, Blasquez P, Ugarte S, Ibanez-Guzman C, Centeno JV, et al: Delirium epidemiology in Critical Care (DECCA): an international study. Crit Care 2010, 14:R210.
4. Marcantonio E, Ta T, Duthie E, Resnick NM: Delirium severity and psychomotor types: their relationship with outcomes after hip fracture repair. J Am Geriatr Soc 2002, 50:850-857.
5. Milbrandt EB, Deppen S, Harrison PL, Shintani AK, Speroff T, Stiles RA, Truman B, Bernard GR, Dittus RS, Ely EW: Costs associated with delirium in mechanically ventilated patients. Crit Care Med 2004, 32:955-962.
6. Thomason JW, Shintani A, Peterson JF, Pun BT, Jackson JC, Ely EW: Intensive care unit delirium is an independent predictor of longer hospital stay: a prospective analysis of 261 non-ventilated patients Crit Care 2005, 9:R375-R381.
7. Salluh JI, Dal-Pizzol F, Mello PV, Friedman G, Silva E, Teles JM, Lobo SM, Bozza FA, Soares M: Delirium recognition and sedation practices in critically ill patients: a survey on the attitudes of 1015 Brazilian critical care physicians. J Crit Care 2009, 24:556-562.
8. Patel RP, Gambrell M, Speroff T, Scott TA, Pun BT, Okahashi J, Strength C, Pandharipande P, Girard TD, Burgess H, et al: Delirium and sedation in the intensive care unit: survey of behaviors and attitudes of 1384 healthcare professionals. Crit Care Med 2009, 37:825-832.
9. Young J, Murthy L, Westby M, Akunne A, O'Mahony R: Diagnosis, prevention, and management of delirium: summary of NICE guidance. BMJ 2010, 341:c3704.
10. Dyer CB, Ashton CM, Teasdale TA: Postoperative delirium. A review of 80 primary data-collection studies. Arch Intern Med 1995, 155:461-465.
11. Dasgupta M, Dumbrell AC: Preoperative risk assessment for delirium after noncardiac surgery: a systematic review. J Am Geriatr Soc 2006, 54:1578-1589.
12. Aldemir M, Ozen S, Kara IH, Sir A, Bac B: Predisposing factors for delirium in the surgical intensive care unit. Crit Care 2001, 5:265-270.
13. Inouye SK: Delirium in hospitalized older patients. Clin Geriatr Med 1998, 14:745-764.
14. Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI: Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann Intern Med 1990, 113:941-948.
15. Ely EW, Truman B, Shintani A, Thomason JW, Wheeler AP, Gordon S, Francis J, Speroff T, Gautam S, Margolin R, et al: Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA 2003, 289:2983-2991.
16. Sessler CN, Gosnell MS, Grap MJ, Brophy GM, O'Neal PV, Keane KA, Tesoro EP, Elswick RK: The Richmond Agitation-Sedation Scale: validity and reliability in adult intensive care unit patients. Am J Respir Crit Care Med 2002, 166:1338-1344.
17. Fabbri RM, Moreira MA, Garrido R, Almeida OP: Validity and reliability of the Portuguese version of the Confusion Assessment Method (CAM) for the detection of delirium in the elderly. Arq Neuropsiquiatr 2001, 59:175-179.
18. McNicoll L, Pisani MA, Ely EW, Gifford D, Inouye SK: Detection of delirium in the intensive care unit: comparison of confusion assessment method for the intensive care unit with confusion assessment method ratings. J Am Geriatr Soc 2005, 53:495-500.
19. Bekker AY, Weeks EJ: Cognitive function after anaesthesia in the elderly. Best Pract Res Clin Anaesthesiol 2003, 17:259-272.
20. Ergina PL, Gold SL, Meakins JL: Perioperative care of the elderly patient. World J Surg 1993, 17:192-198.
21. Gabriel EA, Locali RF, Romano CC, Duarte AJ, Palma JH, Buffolo E: Analysis of the inflammatory response in endovascular treatment of aortic aneurysms. Eur J Cardiothorac Surg 2007, 31:406-412.
22. Rudolph JL, Jones RN, Levkoff SE, Rockett C, Inouye SK, Sellke FW, Khuri SF, Lipsitz LA, Ramlawi B, Levitsky S, Marcantonio ER: Derivation and validation of a preoperative prediction rule for delirium after cardiac surgery. Circulation 2009, 119:229-236.
23. Marcantonio ER, Goldman L, Orav EJ, Cook EF, Lee TH: The association of intraoperative factors with the development of postoperative delirium. Am J Med 1998, 105:380-384.
24. Marcantonio ER, Goldman L, Mangione CM, Ludwig LE, Muraca B, Haslauer CM, Donaldson MC, Whittemore AD, Sugarbaker DJ, Poss R, et al: A clinical prediction rule for delirium after elective noncardiac surgery. JAMA 1994, 271:134-139.
25. Marcantonio ER, Flacker JM, Wright RJ, Resnick NM: Reducing delirium after hip fracture: a randomized trial. J Am Geriatr Soc 2001, 49:516-522.
26. Inouye SK, Bogardus ST Jr, Charpentier PA, Leo-Summers L, Acampora D, Holford TR, Cooney LM Jr: A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med 1999, 340:669-676.
27. Larsen KA, Kelly SE, Stern TA, Bode RH Jr, Price LL, Hunter DJ, Gulczynski D, Bierbaum BE, Sweeney GA, Hoikala KA, et al: Administration of olanzapine to prevent postoperative delirium in elderly joint-replacement patients: a randomized, controlled trial. Psychosomatics 2010, 51:409-418.
28. Mason SE, Noel-Storr A, Ritchie CW: The impact of general and regional anesthesia on the incidence of postoperative cognitive dysfunction and postoperative delirium: a systematic review with meta-analysis. J Alzheimers Dis 2010, 22(Suppl 3):67-79.