Chen Yiling

Taiwan

Delirium,Acute confusion,Sugical intensive care unit,risk factor

''5. Međunarodni kongres HDMSARIST-a'' i ''8. Međunarodni kongres WfCCN-a''

Šibenik, 12.-15. travnja 2012. godine

Background
Delirium is one of the most serious problem 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

Method
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 1th October,2011 to 6th Norvenber ,2011.The CAM-ICU and RASS score was used to assessed and diagnose Delirium . The data was analyzed by Chi-square,t-test.

Result
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), restriction, fever and indwelling catheters(P< .02), high TISS score and low GCS score (P< .03) is statistic difference significantly.

Discussion
For ICU patient, 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.

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