Surgical intensive care unit, Delirium, high risk factor
''5. Međunarodni kongres HDMSARIST-a'' i ''8. Međunarodni kongres WfCCN-a''
Šibenik, 12.-15. travnja 2012. godine
Delirium is one of the most serious problems in the intensive care unit (ICU), which might complicated with serious problem like prolong hospital stay, increased medical expense and mortality.
We plan to analysis the incidence and risk factors related to delirium in ICU
This is a descriptive, related and prospective study. For the convenient sampling, 30 patients were collected the surgical intensive care unit in one medical center from 1st October, 2011 to 6th November, 2011.The CAM-ICU and RASS score was used to assessed and diagnose Delirium. The data was analyzed by Chi-square and t-test.
According to our study, the incidence of acute delirium in SICU is 46.7%. There is no significant statistic difference in disease type, gender and age. Solitary and alcoholism (P=.05), physical restriction (P< .01), fever (P< .02) and indwelling catheters (P< .003), high TISS score (P< .002) and low GCS score (P< .03) is statistic difference significantly.
For ICU patients, nursing staff should be cautious to prevent the delirium risk factors, including the necessity for indwelling catheters and physical restriction on patients, and the treatment of fever episode. Pay attention to high TISS score and low GCS score patients, in order to reduce the incidence of delirium.