Risk factors for agitation in critically ill patients

Almeida, Thiago Miranda Lopes de; Azevedo, Luciano César Pontes; Nosé, Paulo Maurício Garcia; Freitas, Flávio Geraldo Resende; Machado, Flávia Ribeiro

doi:10.5935/0103-507x.20160074

Cited by 40 publications

(40 citation statements)

References 40 publications

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“…Similar finding were reported by Almeida et al. () who discovered that the presence of agitation prolonged ventilation but the cohort of agitated patients had a lower hospital mortality (not agitated 28.4% agitated 11.1%, p = .043). A prospective observational study, which focused on delirium and its consequences, found that the hyperactive delirious patient group, demonstrating agitated behaviour, had fewer short‐term consequences and shorter duration of delirium compared to the other two subtypes of hypoactive and mixed presentation (van den Boogaard, Schoonhoven, van der Hoeven, van Achterberg, & Pickkers, ).…”

Section: Resultssupporting

confidence: 89%

“…reported their finding over two publications ). Additional factors associated with agitation development are moderate to severe pain, presence of delirium and smoking (Almeida, Azevedo, Nose, Freitas, & Machado, ). A retrospective review of medical record highlighted that the use of physical restraint on admission appears to increase the chance of developing agitation more than three times but it could not be determined if agitation precedes or follows restraint use.…”

Section: Resultsmentioning

confidence: 99%

“…The presence of agitation results in a longer duration of mechanical ventilation (MV) (Almeida et al., ; Jaber et al., ). Longer MV brings inherent risk yet it is unclear if agitation in itself prolongs ventilation.…”

Section: Resultsmentioning

confidence: 99%

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Patient agitation and its management in adult critical care: A integrative review and narrative synthesis

Freeman

Yorke

Dark

2018

Journal of Clinical Nursing

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The importance of ensuring patients are re-orientated regularly and signs of agitation assessed and acted upon promptly is reiterated. Early identification of specific patient profiles such as those with previous high alcohol or psychoactive drug habit may enable more proactive management in agitation management rather than reactive. The prompt liberation from the restriction of ventilation and encouragement of family or loved ones involvement in care need to be considered.

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Section: Resultssupporting

confidence: 89%

Section: Resultsmentioning

confidence: 99%

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Patient agitation and its management in adult critical care: A integrative review and narrative synthesis

Freeman

Yorke

Dark

2018

Journal of Clinical Nursing

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“…For each indicator of the eight selected results, conceptual and operational definitions were elaborated from the current literature (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) and clinical experience in the care of patients under palliative care. Their purpose was to guide the application of the indicators in the five levels of the NOC scales and reduce the subjectivity of the evaluator, since the classification does not specify them.…”

Section: Nursing Outcomes Nursing Outcomes Classification and Clinicamentioning

confidence: 99%

“…Excessive reaction to the stimuli, translated by discomfort that generates a certain impatience to anger and hatred (11) .…”

Section: Irritability (210223)mentioning

confidence: 99%

Nursing outcomes for pain assessment of patients undergoing palliative care

et al. 2019

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Objective: To select outcomes and indicators of the Nursing Outcomes Classification (NOC), in order to assess patients with cancer under palliative care with Acute and Chronic Pain Nursing Diagnoses; and to construct the conceptual and operational definitions of the indicators. Method: Expert opinion study and literature review. The sample consisted of 13 experts. The data collection was in own tool applied in face-to-face meeting and by e-mail. In the analysis of the data, it was considered between 75% and 100% of agreement. Results: Eight outcomes and 19 indicators were selected. The results with higher scores were Pain Level, Pain Control and Client Satisfaction: Pain Management. For all indicators selected, conceptual and operational definitions were constructed. Conclusion: The selection of results and priority indicators for the assessment of pain in palliative care, as well as the construction of its definitions, will support clinical practice.

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Risk factors for inducing violence in patients with delirium

et al. 2021

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Significant outcomes: This is one of the largest studies investigating the risk factors for violence in patients with delirium in a general hospital. Current smoker status, older age, male gender, and use of intensive care units were identified as factors associated with violence in patients with delirium.Limitations: This was a retrospective study based on clinical practice at a single hospital. Further studies on this topic by other general hospitals will help establish the present results. Some of the factors that could be implicated in delirium-induced violence were not included in this study. These include: some medications, physical conditions such as pain, psychological conditions such as anxiety, use of uncomfortable and/or painful medical procedures such as urethral drainage tubes, and a history of behavioral disturbance.

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Risk factors for agitation in critically ill patients

Cited by 40 publications

References 40 publications

Patient agitation and its management in adult critical care: A integrative review and narrative synthesis

Patient agitation and its management in adult critical care: A integrative review and narrative synthesis

Nursing outcomes for pain assessment of patients undergoing palliative care

Risk factors for inducing violence in patients with delirium

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