کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2652076 1139581 2015 8 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله ISI
Severity of delirium in the ICU is associated with short term cognitive impairment. A prospective cohort study
ترجمه فارسی عنوان
شدت هذیان در ICU با اختلال شناختی کوتاه مدت همراه است؛ یک مطالعه همگروه آینده نگر
کلمات کلیدی
چک لیست غربالگری هذیان مراقبت های ویژه ؛ هذیان؛ اختلال شناختی؛ بیماری بحرانی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

SummaryObjectivesTo examine the hypothesis that severity of delirium in the intensive care unit (ICU) is positively associated with cognitive impairment at the time of hospital discharge.DesignA prospective cohort study.SettingAdult medical and surgical ICU of a tertiary-care teaching hospital in Japan in ICU patients who were enrolled and admitted for more than 48 hours.MethodsSeverity of delirium was represented as a score of the Intensive Care Delirium Screening Checklist (ICDSC) during the patients’ stay in the ICU under the assumption that higher ICDSC score indicated severe delirium. After discharge from the ICU, the patients were followed up for cognitive impairment using the Mini-Mental State Examination (MMSE).ResultsOf the 79 patients enrolled, 50 (63.3%) developed delirium during their stay in the ICU. Patients who developed delirium had higher rates of cognitive impairment (28.0% vs. 3.4%, p = 0.03). After adjusting for covariates, the averaged ICDSC score during the ICU stay indicated a positive association between severity of delirium and cognitive impairment at the time of hospital discharge (adjusted odds ratio (OR) 1.6; 95% confidential interval (CI), 1.02–2.54; p = 0.041).ConclusionsOur findings indicate that severity of delirium during ICU stay may be associated with cognitive impairment at the time of discharge from the hospital in ICU survivors.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Intensive and Critical Care Nursing - Volume 31, Issue 4, August 2015, Pages 250–257
نویسندگان
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