PREVALENCE AND RISK FACTORS OF DELIRIUM IN CRITICALLY ILL PATIENTS AT HOSPITALS IN THE NORTH OF WEST BANK
Date
2022-06-01
Authors
Suliman, Nuha
Journal Title
Journal ISSN
Volume Title
Publisher
جامعة النجاح الوطنية
Abstract
Background: Delirium is a very common issue in acute hospital settings, notably those
admitted to the intensive care unit (ICU). This study was conducted to estimate the
prevalence of delirium among patients admitted to the ICU in hospitals in the north of
West Bank. The study also assessed the characteristics of the patients who were more
likely to develop delirium.
Methods: This study was conducted in a descriptive analytical design. Patients admitted
to the ICU of Rafidia, Al-Watani, Al-Itthad, Al-Arabi, Nablus-Surgical, An-Najah and
Sant-Luke’s hospitals were assessed for delirium using the confusion assessment
method.
Results: A total of 100 ICU patients were included in this study. The prevalence of
delirium among the ICU patients was 55%. Of the patients, 20% had hypoactive, 20%
had hyperactive, and 14% had mixed type. Age and income were significantly
associated with delirium. Additionally, pain, receiving high flow nasal cannula, general
anesthesia, and antiepileptic drugs were significantly associated with experiencing
delirium in the ICU. There was a significant association between the Richmond
Agitation Sedation Scale score and delirium among the patients in this study.
Conclusion: Delirium was highly prevalent among critically ill patients admitted to the
ICUs in northern Palestinian hospitals. Providers of intensive care services should
consider screening patients who are elderly, have low income, fever, use high flow nasal
cannula, be in a prone position, use feeding tube/nasogastric tube/ percutaneous
endoscopic gastrostomy, general anesthesia, and receive antiepileptic drugs for
delirium. More studies are still needed to determine the best ways to address delirium
among critically ill patients who are admitted to the ICUs
Description
Keywords
Delirium, intensive care, critical care, CAM-ICU, monitoring.