Delirium in Intensive Care

被引:26
|
作者
Poulsen, Lone Musaeus [1 ]
Estrup, Stine [2 ]
Mortensen, Camilla Bekker [1 ]
Andersen-Ranberg, Nina Christine [1 ]
机构
[1] Zealand Univ Hosp, Dept Anaesthesiol, Lykkebaekvej 1, DK-4600 Koege, Denmark
[2] Rigshosp, Dept Intens Care Med, Blegdamsvej, DK-2100 Copenhagen, Denmark
关键词
Delirium; Intensive care; CAM-ICU; Risk factors; Non-pharmacological; Pharmacological; Core outcome; TERM COGNITIVE IMPAIRMENT; CRITICAL ILLNESS; UNIT DELIRIUM; ICU; PREVENTION; SURVIVORS; PATHOPHYSIOLOGY; DISABILITY; PREDICTOR; SYMPTOMS;
D O I
10.1007/s40140-021-00476-z
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Purpose of Review Delirium in the intensive care unit (ICU) has become increasingly acknowledged as a significant problem for critically ill patients affecting both the actual course of illness as well as outcomes. In this review, we focus on the current evidence and the gaps in knowledge. Recent Findings This review highlights several areas in which the evidence is weak and further research is needed in both pharmacological and non-pharmacological treatment. A better understanding of subtypes and their different response to therapy is needed and further studies in aetiology are warranted. Larger studies are needed to explore risk factors for developing delirium and for examining long-term consequences. Finally, a stronger focus on experienced delirium and considering the perspectives of both patients and their families is encouraged. With the growing number of studies and a better framework for research leading to stronger evidence, the outcomes for patients suffering from delirium will most definitely improve in the years to come.
引用
收藏
页码:516 / 523
页数:8
相关论文
共 50 条
  • [21] Delirium in the Intensive Care Unit: A Review
    Morandi, Alessandro
    Jackson, James C.
    NEUROLOGIC CLINICS, 2011, 29 (04) : 749 - +
  • [22] Delirium in intensive care: A stepped-wedge cluster randomised controlled trial for a nurse-led intervention to reduce the incidence and duration of delirium among adults admitted to the intensive care unit (protocol)
    Lynch, Joan
    Rolls, Kaye
    Hou, Yu Chin
    Hedges, Sonja
    Al Sayfe, Masar
    Shunker, Sharon-Ann
    Brennan, Kathleen
    Sanchez, David
    Bogdanovski, Tony
    Hunt, Leanne
    Alexandrou, Evan
    Frost, Steven A.
    AUSTRALIAN CRITICAL CARE, 2020, 33 (05) : 475 - 479
  • [23] Delirium in Cardiac Intensive Care Unit
    Pagad, Sukrut
    Somagutta, Manoj R.
    May, Vanessa
    Arnold, Ashley A.
    Nanthakumaran, Saruja
    Sridharan, Saijanakan
    Malik, Bilal Haider
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2020, 12 (08)
  • [24] Mental health-related quality of life is related to delirium in intensive care patients
    Hofhuis, Jose G. M.
    Schermer, Tjard
    Spronk, Peter E.
    INTENSIVE CARE MEDICINE, 2022, 48 (09) : 1197 - 1205
  • [25] Intensive care unit environment may affect the course of delirium
    Zaal, Irene J.
    Spruyt, Carolina F.
    Peelen, Linda M.
    van Eijk, Maarten M. J.
    Wientjes, Rens
    Schneider, Margriet M. E.
    Kesecioglu, Jozef
    Slooter, Arjen J. C.
    INTENSIVE CARE MEDICINE, 2013, 39 (03) : 481 - 488
  • [26] The Cost of ICU Delirium and Coma in the Intensive Care Unit Patient
    Vasilevskis, Eduard E.
    Chandrasekhar, Rameela
    Holtze, Colin H.
    Graves, John
    Speroff, Theodore
    Girard, Timothy D.
    Patel, Mayur B.
    Hughes, Christopher G.
    Cao, Aize
    Pandharipande, Pratik P.
    Ely, E. Wesley
    MEDICAL CARE, 2018, 56 (10) : 890 - 897
  • [27] The intensive care delirium research agenda: a multinational, interprofessional perspective
    Pandharipande, Pratik P.
    Ely, E. Wesley
    Arora, Rakesh C.
    Balas, Michele C.
    Boustani, Malaz A.
    Heras La Calle, Gabriel
    Cunningham, Colm
    Devlin, John W.
    Elefante, Julius
    Han, Jin H.
    MacLullich, Alasdair M.
    Maldonado, Jose R.
    Morandi, Alessandro
    Needham, Dale M.
    Page, Valerie J.
    Rose, Louise
    Salluh, Jorge I. F.
    Sharshar, Tarek
    Shehabi, Yahya
    Skrobik, Yoanna
    Slooter, Arjen J. C.
    Smith, Heidi A. B.
    INTENSIVE CARE MEDICINE, 2017, 43 (09) : 1329 - 1339
  • [28] The predictive value of confusion assessment method-intensive care unit and intensive care delirium screening checklist for delirium in critically ill patients in the intensive care unit: A systematic review and meta-analysis
    Diao, Yujie
    Yu, Xiaomin
    Zhang, Qin
    Chen, Xiaoli
    NURSING IN CRITICAL CARE, 2024, 29 (06) : 1224 - 1235
  • [29] Occupational therapy for delirium management in elderly patients without mechanical ventilation in an intensive care unit: A pilot randomized clinical trial
    Alvarez, Evelyn A.
    Garrido, Maricel A.
    Tobar, Eduardo A.
    Prieto, Stephanie A.
    Vergara, Sebastian O.
    Briceno, Constanza D.
    Gonzalez, Francisco J.
    JOURNAL OF CRITICAL CARE, 2017, 37 : 85 - 90
  • [30] The family in preventing delirium in the intensive care unit: Scoping review
    Pabon-Martinez, B. A.
    Rodriguez-Pulido, L. I.
    Henao-Castano, A. M.
    ENFERMERIA INTENSIVA, 2022, 33 (01): : 33 - 43