Delirium Severity and Correlates among Medical Inpatients Admitted through  Accident and Emergency Unit of Jos  University Teaching Hospital

Bamidele, Lubuola Issa; Armiya’u, Aishatu Yusha’u; Maigari, Y T; Akinyemi, Opeyemi F.; Obindo, Taiwo J.

doi:10.4236/ojem.2018.63006

Cited by 2 publications

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Delirium prevalence in emergency department patients: A systematic review and meta‐analysis

Wang,

Dai,

Chen

et al. 2024

Nursing in Critical Care

View full text Add to dashboard Cite

BackgroundDelirium is a common acute mental disorder, and its adverse outcomes often cause distress to both patients and their families. Despite its prevalence in patients treated in emergency departments, delirium is frequently overlooked.AimThis study aims to systematically evaluated and meta‐analysis the prevalence of delirium among emergency patients, providing insights into its prevalence and offering guidance for its management and prevention.Study DesignObservational studies on the prevalence of delirium in emergency departments were systematically searched in PubMed, Embase, the Cochrane Library and Medline databases. Relevant English‐language studies published up to 18 September 2023 were reviewed, and meta‐analysis was conducted using Stata 14.0 software. Quality assessment of included literature was performed using the methodological index for non‐randomized studies (MINORS), and publication bias was assessed using Egger's test.ResultsThirteen studies encompassing a total sample size of 33 839 cases were included, with 3082 cases of delirium incidents. The findings revealed a 15% prevalence rate of delirium in emergency departments, with a 95% confidence interval (CI) of (0.10, 0.20) and an overall heterogeneity of 98.37% (p = .000). Among emergency department patients over 65 years of age, the prevalence of delirium was 12%, with a 95% CI of (0.07, 0.19) and a heterogeneity of 94.59%. For patients over 18 years of age, the prevalence was 17%, with a 95% CI of (0.10, 0.25) and a heterogeneity of 98.94%.ConclusionsThis meta‐analysis reveals an overall 15% prevalence rate of delirium among patients in emergency departments.Relevance to Clinical PracticeIn clinical practice, emergency medical staff should strengthen the screening and management of emergency delirium patients.

show abstract

Delirium prevalence in emergency department patients: A systematic review and meta‐analysis

Wang,

Dai,

Chen

et al. 2024

Nursing in Critical Care

View full text Add to dashboard Cite

show abstract

Magnitude and associated factors of delirium among patients attending emergency department at Jimma medical center, Jimma, southwest Ethiopia, 2022

Sileshy

Tesfaye

Ababu

2022

Preprint

View full text Add to dashboard Cite

Background: Delirium is a complex neuropsychiatric syndrome commonly encountered across all healthcare settings. It is associated with adverse outcomes including more prolonged hospitalization, institutionalization and increased mortality. In contrast to its frequent occurrence and negative consequences, delirium is missed by emergency physicians (EPs) in 57% to 83% of cases. Furthermore despite to its clinical importance, there is little documentation regarding delirium prevalence and physician detection rates within the emergency setting.Objectives: This study aimed to assess magnitude and associated factors of delirium among patients attending emergency department at Jimma medical center, Jimma, southwest Ethiopia, 2022.Methods: A hospital based cross-sectional study was conducted from August 1st up to September 30, 2022. 422 study participants were enrolled who were selected by systematic random sampling. The presence or absence of delirium was assessed by using Confusion Assessment Method (CAM) and Richmond Agitation Sedation Scale (RASS) was employed to assess distinct subtypes of delirium and level of arousal. The data was entered using Epi Data V3.1 and exported to Statistical Package for Social Scientists Version 20(SPSS V20). To find associated factors, bivariate and multivariable logistic regressions were used. Variables having a p-value of less than 0.05 were deemed statistically significant.Result: The prevalence of delirium was found to be 26.6%(n=107), current use of alcohol (AOR=3.6, 95 percent CI (2.5-8.1), visual impairment (AOR=2.34, 95 percent CI (1.89-3.68), frequent admission (AOR=3.47(1.24-7.34), bladder catheterization (AOR=1.4, 95 percent CI (1.21-2.89), 15.993), and benzodiazepine exposure (AOR=1.5, 95 percent CI (1.01-2.3) had significant association with delirium.Conclusion: This study shows the prevalence of delirium was high among patients in emergency ward. Current use of alcohol, visual impairment, frequent admission, bladder catheterization, and benzodiazepine exposure had significant association with delirium. Early recognition is important to correct identifiable cause and improve health outcome of patients.

show abstract

Delirium Severity and Correlates among Medical Inpatients Admitted through Accident and Emergency Unit of Jos University Teaching Hospital

Cited by 2 publications

References 18 publications

Delirium prevalence in emergency department patients: A systematic review and meta‐analysis

Delirium prevalence in emergency department patients: A systematic review and meta‐analysis

Magnitude and associated factors of delirium among patients attending emergency department at Jimma medical center, Jimma, southwest Ethiopia, 2022

Contact Info

Product

Resources

About