Early recognition of delirium in trauma patients

Johnson, Kari; Diana, Shelly; Todd, Jodi; McFarren, Amanda; Domb, Alisa; Mangram, Alicia; Veale, Kevin

doi:10.1016/j.iccn.2015.10.001

Cited by 6 publications

(3 citation statements)

References 14 publications

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“…Institutions that have developed ICU delirium protocols or provided education have demonstrated significant reductions in the incidence of delirium, hospital length of stay (LOS), and improved patient outcomes. 6,7,8 Clinical decision support systems (CDSS) are being increasingly utilized by pharmacists and other health care professionals to receive timely clinical information, efficiently monitor patients, and provide appropriate care. Facilities that have implemented CDSS have documented an increase in clinical interventions from an average of 1986 per month to 4065 per month.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Pharmacist Impact on Intensive Care Unit Delirium: Intervention and Monitoring

Lightfoot¹,

Sanders²,

Burke³

et al. 2018

Hosp Pharm

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The purpose of this study was to determine the impact of pharmacist monitoring with a clinical decision support system (CDSS) on clinical outcomes related to intensive care unit (ICU) delirium. Methods: This was a single-center, before-and-after study. This study compares patient outcomes of the preintervention group, which is the standard of care of pharmacist rounding, and the intervention group of pharmacy rounding with the CDSS rules. Using a CDSS, specific delirium risk factor rules were created to alert pharmacists to patients who have an increased risk of developing ICU delirium. Patients were included in the study if they were ⩾18 years of age, admitted to the trauma intensive care unit (TICU), and had one of the CDSS rule alerts. The CDSS notified pharmacists in real time to patients in the intervention group that met these criteria to provide timely recommendations in an effort to prevent ICU delirium. Results: Compared with the preintervention group receiving the standard of care (n = 28), the intervention CDSS group (n = 33) had a nonsignificant trend in decreased incidence of delirium (33.3% vs 24.1%, P = .45), ICU length of stay (LOS) (10.11 vs 7.55 days, P = .26), and ventilator duration (7.11 vs 5.03 days, P = .26). The intervention group had a significantly shorter hospital LOS (14.74 vs 9.98 days, P = .04). There was a nonsignificant increase in mortality with the intervention group from nondelirium causes (24.2% vs 7%, P = .07). Conclusion: The utilization of a CDSS by clinical pharmacists to monitor for delirium-specific risk factors led to a significantly shorter hospital LOS. Further studies using this model are warranted to see the impact on the ICU population.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical Pharmacist Impact on Intensive Care Unit Delirium: Intervention and Monitoring

Lightfoot¹,

Sanders²,

Burke³

et al. 2018

Hosp Pharm

View full text Add to dashboard Cite

show abstract

“…Among the predisposing factors is age, mainly in people over 50 years old [ [5] , [6] , [7] ]. Also, antecedents of diabetes, atrial fibrillation [ 5 ], gastritis [ 5 ], chronic renal disease [ 8 ], postoperative states, arterial hypertension, inflammatory markers [ 7 , 8 ], elevated BUN, elevated creatinine [ 5 ], and sodium [ 5 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial

Tovar

Castaño

2023

Contemporary Clinical Trials Communications

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The effect of physical restraint on neurovascular complications in intensive care units

Ertuğrul

Özden

2020

Australian Critical Care

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Early recognition of delirium in trauma patients

Cited by 6 publications

References 14 publications

Clinical Pharmacist Impact on Intensive Care Unit Delirium: Intervention and Monitoring

Clinical Pharmacist Impact on Intensive Care Unit Delirium: Intervention and Monitoring

Effectiveness of nursing intervention to reduce delirium in adult critically ill - A protocol for a randomized trial

The effect of physical restraint on neurovascular complications in intensive care units

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