Published online Jul 19, 2024. doi: 10.5498/wjp.v14.i7.1027
Revised: May 15, 2024
Accepted: June 4, 2024
Published online: July 19, 2024
Processing time: 101 Days and 17.6 Hours
Delirium is a neuropsychiatric syndrome characterized by acute disturbances of consciousness with rapid onset, rapid progression, obvious fluctuations, and preventable, reversible, and other characteristics. Patients with delirium in the intensive care unit (ICU) are often missed or misdiagnosed and do not receive adequate attention.
To analyze the risk factors for delirium in ICU patients and explore the applica
General data of 301 critically ill patients were retrospectively collected, including histories (cardiovascular and cerebrovascular diseases, hypertension, smoking, alcoholism, and diabetes), age, sex, diagnosis, whether surgery was performed, and patient origin (emergency/clinic). Additionally, the duration of sedation, Richmond Agitation Sedation Scale score, combined emotional and pain care, ven
Univariate logistic regression analysis was performed on the 24 potential risk factors associated with delirium in ICU patients. The results showed that 16 risk factors were closely related to delirium, including combined emotional and pain care, history of diabetes, and patient origin. Multivariate logistic regression analysis revealed that no combined emotional and pain care, history of diabetes, emergency source, surgery, long stay in the ICU, smoking history, and high APACHE II score were independent risk factors for de
Patients with diabetes and/or smoking history, postoperative patients, patients with a high APACHE II score, and those with emergency ICU admission need emotional and pain care, flexible visiting modes, and early intervention to reduce delirium incidence.
Core Tip: Delirium incidence in intensive care unit (ICU) patients remains high and seriously affects their prognosis. To reduce the incidence of delirium in ICU patients, medical staff should be fully aware of delirium in critically ill patients and intervene it promptly. Medical staff should focus on the influence of combined emotional and pain care on delirium occurrence and establish individualized flexible visitation modes according to the patient’s situation. We found that history of diabetes, smoking history, emergency referral to the ICU, surgery, long stay in the ICU, and high Acute Physiology and Chronic Health Evaluation II score were identified to be risk factors for delirium in critically ill patients.