Delirium prevention program in the surgical intensive care unit improved the outcomes of older adults

Bryczkowski, Sarah; Lopreiato, Maeve C.; Yonclas, Peter; Sacca, James J.; Mosenthal, Anne C.

doi:10.1016/j.jss.2014.02.044

Cited by 48 publications

(96 citation statements)

References 29 publications

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“…The post-intervention group experienced delirium in the same proportion as the pre-intervention group (P=0.26). However, there was a significant reduction in the duration of the delirium, indicated by the increase in the delirium free days (pre 24 days vs post 27 days, P=0.002) (1) . Although the solution of the neurological disorder has not been demonstrated, the fact of reducing the days in delirium already brings benefits to the patients.…”

Section: Discussionmentioning

confidence: 89%

“…The guidelines for pain, agitation and delirium do not recommend the use of a pharmacological protocol for the treatment and prevention of delirium, since pharmacological evidences in reducing the incidence of this neurological disorder has not yet shown definitive results (1,14,(21)(22) .…”

Section: Discussionmentioning

confidence: 99%

“…All of them used haloperidol, three associated an atypical antipsychotic (olanzapine, risperidone or quetiapine) in the presence of elongated QT in the patients. Of these, only one study described the dose of haloperidol used: 0.5 to 1mg every 8 hours orally or parenterally (21) the others reported only the use of a "low dose" (1,(22)(23)(24) .…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of delirium in Intensive Care Units (ICUs) is high, studies show that this neurological disorder is present in 21% to 79% of critical patients, being more frequent in patients submitted to mechanical ventilation (1)(2)(3) .…”

Section: Introductionmentioning

confidence: 99%

“…Given this alarming context of delirium, this disorder should be considered a pathology of epidemiological importance, which needs to be better investigated and treated, given its difficulty of identification and the uncertainty about the interventions that are really effective in the solution of the condition (1) .…”

Section: Introductionmentioning

confidence: 99%

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Cuidados multiprofissionais para pacientes em delirium em terapia intensiva: revisão integrativa

Souza

Azzolin

Fernandes

2018

Rev. Gaúcha Enferm.

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Objective: To describe the multiprofessional care for the management of critical patients in delirium in the ICU from the evidences found in the literature.Methods: This integrative review was carried out in the period from February 1 to June 30, 2016 through searches on PubMed, Scopus, Web of Science, and CINAHL, with the following descriptors: delirium, critical care e intensive care units, which brought up 17 original papers. Results:A bundle and a guideline, two systematic reviews, evidence 1a and four clinical trials, evidence 1b and 2b, cohort and observational studies were found. The multiprofessional care was presented to better understand the diagnosis of delirium, sedation pause, early mobilization, pain, agitation and delirium guidelines, psychomotor agitation, cognitive orientation, sleep promotion, environment and family participation. Conclusion:The care for delirium is wide and not specific, which determines its multifactorial aspect. Keywords: Delirium. Intensive care units. Critical care. Patient care team. Review. RESUMO Objetivo: Descrever os cuidados multiprofissionais para manejo de pacientes críticos em delirium na UTI a partir das evidências encontradas na literatura.Métodos: Trata-se de uma revisão integrativa realizada no período de 1º de fevereiro a 30 de junho de 2016, através de busca nas bases de dados PubMed, Scopus, Web of Science e CINAHL, com os descritores delirium, critical care e intensive care units que finalizou com 17 estudos originais. Resultados:Foram encontrados um bundle e uma diretriz, duas revisões sistemáticas, evidência 1a e quatro ensaios clínicos, evidência 1b e 2b, os demais estudos de coorte e observacionais. Os cuidados multiprofissionais foram apresentados para melhor entendimento em diagnóstico de delirium, pausa de sedação, mobilização precoce, diretrizes para dor, agitação e delirium, agitação psicomotora, orientação cognitiva, promoção do sono, ambiente e participação da família. Conclusão:Os cuidados para delirium são abrangentes e pouco específicos, determinando seu aspecto multifatorial. Palavras-chave: Delírio. Unidades de terapia intensiva. Cuidados críticos. Equipe de assistência ao paciente. Revisão. RESUMEN Objetivo: Se objetivó describir los cuidados multiprofesionales para manejo de pacientes críticos en delirium en la UCI, a partir de las evidencias encontradas en la literatura.Métodos: Se trata de una revisión integradora, realizada en el período del 1 de febrero al 30 de junio de 2016 a través de búsqueda en PubMed, Scopus, Web of Science, y CINAHL con descriptores delirium, critical care e intensive care units que finalizó con 17 estudios originales.Resultados: Se encontraron un bundle, una directriz, dos revisiones sistemáticos, evidencia 1a, cuatro ensayos clínicos, evidencia 1b y 2b, los demás estudios de cohorte y observacionales. Se presentaron los cuidados multiprofesionales para una mejor comprensión de diagnóstico de delirium, pausa de sedación, movilización temprana, directrices para el dolor, agitación, y delirium, agitación...

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Section: Discussionmentioning

confidence: 89%