Epidemiology of delirium in a court of critical patients in the Intensive Care Unit of the Hospital Pablo Arturo Suárez, 2017
Keywords:
critical patient, delirium, midazolam, propofol (MESH-NHI)Abstract
Delirium is a common clinical situation in critically ill patients, it is multifactorial; sleep disturbance, the severity of their suffering and the use of neuropharmaceuticals are the most frequent causes.
A prospective, analytical cohort study was conducted in the intensive care unit of the Hospital Pablo Arturo Suárez in the months of June to December 2017 to determine the epidemiology of delirium.
We studied 30 patients who had a critical pathology and that their stay was longer than 48 hours; CAM-ICU scales were applied to assess delirium and RASS to assess agitation daily, and other variables were mediated such as use of midazolam, propofol, days of hospitalization, among others.
In the patients studied, delirium was similar in terms of sex and age, but was different when midazolam was used as a sedative drug, increasing its incidence (p = 0.014); The opposite phenomenon was observed when the sedative used was propofol (p = 0.020). A significant difference was also found when the hospitalization was prolonged (p = 0.020). It was also found that within the CAM-ICU score inattention (100%) and altered level of consciousness (90%) were the most frequent parameters in the patients studied.
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Copyright (c) 2018 Jorge Luis Vélez, Wendy Tercero Martínez, Ramiro Bucheli Vaca, Viviana Valles
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