PREVALENCE AND RISK FACTORS OF DELIRIUM IN CRITICALLY ILL PATIENTS AT HOSPITALS IN THE NORTH OF WEST BANK
جامعة النجاح الوطنية
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
Delirium, intensive care, critical care, CAM-ICU, monitoring.