Risk factors for intensive care delirium: A systematic review

Delirium has been a recognised syndrome in the intensive care unit for some years. This systematic review reports risk factors for delirium studied in the intensive care unit. Four predisposing and 21 precipitating factors, including nine laboratory blood values and seven items relating to the use o...

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Bibliographic Details
Published in:Intensive & critical care nursing 2008-04, Vol.24 (2), p.98-107
Main Authors: Van Rompaey, Bart, Schuurmans, Marieke J., Shortridge-Baggett, Lillie M., Truijen, Steven, Bossaert, Leo
Format: Article
Language:English
Subjects:
APACHE
Causality
Confidence intervals
Critical Care - organization & administration
Critical Care - psychology
Delirium
Delirium - diagnosis
Delirium - epidemiology
Delirium - etiology
Delirium - psychology
Health Facility Environment
Hospitals
Humans
Hypertension - complications
Incidence
Intensive care
Intensive Care Units - organization & administration
Length of Stay
Mass Screening
Multivariate Analysis
Nursing
Nursing Assessment
Prospective Studies
Research Design
Retrospective Studies
Risk Assessment
Risk factor
Syndrome
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Summary:Delirium has been a recognised syndrome in the intensive care unit for some years. This systematic review reports risk factors for delirium studied in the intensive care unit. Four predisposing and 21 precipitating factors, including nine laboratory blood values and seven items relating to the use or the administration of medication, were found to influence the onset of delirium in the intensive care unit in six publications. The APACHE II score and hypertension were the only factors reported twice. Risk factors for the development of intensive care delirium were understudied and underreported in the literature.
ISSN:0964-3397
1532-4036
DOI:10.1016/j.iccn.2007.08.005