• Neurologic clinics · Nov 2011

    Review

    Delirium in the intensive care unit: a review.

    • Alessandro Morandi and James C Jackson.
    • Center for Health Services Research, Vanderbilt Medical Center, 1215 21st Avenue South MCE Suite 6100, Nashville, TN 37232-1269, USA. morandi.alessandro@gmail.com
    • Neurol Clin. 2011 Nov 1;29(4):749-63.

    AbstractDelirium occurs commonly in both general medical and intensive care unit (ICU) patients, with prevalence rates of up to 80% reported. A common expression of acute brain dysfunction, it is related to wide-ranging untoward outcomes such as prolonged hospitalization, increased costs, higher mortality, and, potentially long-term cognitive impairment. Different risk factors are associated with delirium, including sedation, which has implications for patient management. Multicomponent interventions to prevent delirium, developed in the non-ICU setting, can be adapted to critically ill patients with the purpose of reducing its incidence. Future studies should evaluate target interventions to prevent delirium in the ICU.Copyright © 2011 Elsevier Inc. All rights reserved.

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