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ISSN 0028-3851 (Print)

2007, Number 2

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Rev Neurol Neurocir Psiquiat 2007; 40 (2)

Incidence of delirium in the intensive and coronary care units of Hospital Central Militar

Ramos JI, Perez TD, Takao Kaneo-Wada FJ, Almanza-Muñoz JJ

Language: Spanish
References: 20
Page: 41-49
PDF size: 72.35 Kb.


ABSTRACT

Introduction. Delirium is an alteration of the conscience state characterized by an acute or subacute beginning, with fluctuating course and damage to cognitive function usually reversible. An incidence from 20 to 40% in the intensive care units is reported.
Objective. To determine the incidence of delirium in intensive and coronary care units of the Hospital Central Militar and to identify associated risk factors.
Method. Observational study, cohort type, prospective and descriptive developed in a period of six weeks. Descriptive and corelational statistic.
Results. A total of 111 patients with the inclusion criteria were studied, global incidence of delirium in both medical units was of 28.8%; for intensive therapy 39.7% and for coronary care 11.1%. The commonest delirium subtype was hypoactive in 62.5% of the patients. Alteration in serum glycemia, use of opioid, low risk medication use, and presence of vesical catheter, was associated significantly to delirium presence.
Conclusions. The incidence of delirum in the studied clinical group was of 28.8% which is similar to reported in literature. Early detection and opportune handling with attention to the found risk factors is important to improve the care of these patients. It is recommendable to continue with this line of investigation to confirm the present results.


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