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
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