Delirium risk factors: Difference between revisions
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==Overview== | ==Overview== | ||
Common risk factors associated with [[delirium]] include [[older]] age, [[dementia]], [[hypertension]], [[emergency]] [[surgery]] or [[trauma]] before [[ICU]] admission, acute [[Physiology]] and Chronic [[Health]] Evaluation II ([[APACHE]]-II) score, [[mechanical ventilation]], [[metabolic acidosis]], [[delirium]] on the prior day , [[coma]]. | |||
==Risk Factors== | ==Risk Factors== | ||
Common risk factors associated with [[delirium]] include:<ref name="ZaalDevlin2015">{{cite journal|last1=Zaal|first1=Irene J.|last2=Devlin|first2=John W.|last3=Peelen|first3=Linda M.|last4=Slooter|first4=Arjen J. C.|title=A Systematic Review of Risk Factors for Delirium in the ICU*|journal=Critical Care Medicine|volume=43|issue=1|year=2015|pages=40–47|issn=0090-3493|doi=10.1097/CCM.0000000000000625}}</ref> | Common risk factors associated with [[delirium]] include:<ref name="ZaalDevlin2015">{{cite journal|last1=Zaal|first1=Irene J.|last2=Devlin|first2=John W.|last3=Peelen|first3=Linda M.|last4=Slooter|first4=Arjen J. C.|title=A Systematic Review of Risk Factors for Delirium in the ICU*|journal=Critical Care Medicine|volume=43|issue=1|year=2015|pages=40–47|issn=0090-3493|doi=10.1097/CCM.0000000000000625}}</ref> | ||
Revision as of 15:02, 3 April 2021
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Delirium On the Web |
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American Roentgen Ray Society Images of Delirium |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Pratik Bahekar, MBBS [2]; Vishal Khurana, M.B.B.S., M.D. [3]
Overview
Common risk factors associated with delirium include older age, dementia, hypertension, emergency surgery or trauma before ICU admission, acute Physiology and Chronic Health Evaluation II (APACHE-II) score, mechanical ventilation, metabolic acidosis, delirium on the prior day , coma.
Risk Factors
Common risk factors associated with delirium include:[1]
- Older age
- Dementia
- Hypertension
- Emergency surgery or trauma before ICU admission
- Acute Physiology and Chronic Health Evaluation II (APACHE-II) score
- Mechanical ventilation
- Metabolic acidosis
- Delirium on the prior day
- Coma
Modifiable Risk Factors
- Immobilization due to catheters insertion or restraints
- Medications such as sedative hypnotics, narcotics, anticholinergic drugs, corticosteroid, polypharmacy
- Withdrawal of alcohol or other drugs
- Acute neurological impairment such as acute stroke (right parietal), intracranial hemorrhage, meningitis, encephalitis
- Infectious disease, iatrogenic complications, severe acute illness, anemia, dehydration, poor nutritional status, fracture, trauma, HIV infection
- Metabolic impairment
- Surgery
- Intensive care unit admission
- Pain
- Emotional stress
- Lack of sleep
Non-Modifiable Risk Factors
- Cognitive impairment
- Older age (>65 years)
- History of delirium, stroke, neurological disease, falling or gait disorder
- Associating multiple medical disorders
- Male
- Presence of underlying renal or hepatic disorders [2]
References
- ↑ Zaal, Irene J.; Devlin, John W.; Peelen, Linda M.; Slooter, Arjen J. C. (2015). "A Systematic Review of Risk Factors for Delirium in the ICU*". Critical Care Medicine. 43 (1): 40–47. doi:10.1097/CCM.0000000000000625. ISSN 0090-3493.
- ↑ "Delirium in elderly adults: diagnosis, prevention and treatment".