Delirium Among Critically Ill Patients With Stroke: Prevalence, Severity, and Outcomes.
Background: Delirium is a common complication of critical illness, but the epidemiology of delirium among stroke patients with critical illness is uncertain. Objectives: To assess the prevalence, severity, and short-term outcomes of delirium in adults admitted to a neurocritical care unit with acute...
| Publicado en: | American Journal of Critical Care Vol. 34; no. 4; pp. 266 - 274 |
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| Autores principales: | , , , , , , , |
| Formato: | CEU research Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Jul2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186249225&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186249225 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Jul2025 vid: 34 iid: 4 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 186249225 186249225 186249225 10.4037/ajcc2025153 186249225 ppf: 266 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Delirium Among Critically Ill Patients With Stroke: Prevalence, Severity, and Outcomes. aug: au: Lawson, Thomas N. Tan, Alai McNett, Molly Balas, Michele C. Brinda, Amy Brummel, Nathan E. Happ, Mary B. Tate, Judith A. affil: lead advanced practice provider, Neurocritical Care Unit, The Ohio State University Wexner Medical Center, The Ohio State University College of Nursing, Columbus sug: subj: Stroke Patients Critically Ill Patients Delirium Epidemiology Delirium Pathology Severity of Disability Evaluation Delirium Therapy Treatment Outcomes Evaluation Critical Care Intensive Care Units, Neonatal Human Prospective Studies Nonexperimental Studies Academic Medical Centers United States Male Female Aged Prevalence Ischemic Stroke Cerebral Hemorrhage Hemorrhagic Stroke Subarachnoid Hemorrhage Cerebral Aneurysm Clinical Assessment Tools Ventilators, Mechanical Treatment Duration Confidence Intervals Length of Stay Odds Ratio Scales Descriptive Statistics Education, Continuing (Credit) Delirium Diagnosis Delirium Prevention and Control Hospital Mortality Delirium Mortality Linear Regression Logistic Regression Univariate Statistics Funding Source Aged: 65+ years Male Female ab: Background: Delirium is a common complication of critical illness, but the epidemiology of delirium among stroke patients with critical illness is uncertain. Objectives: To assess the prevalence, severity, and short-term outcomes of delirium in adults admitted to a neurocritical care unit with acute ischemic stroke, intracerebral hemorrhage, and aneurysmal subarachnoid hemorrhage. Methods: A prospective, observational cohort study was conducted in a neurocritical care unit in the United States. Patients were enrolled within 48 hours of stroke symptom onset. Delirium was assessed daily until study day 7 (or until transfer out of the neurocritical care unit) with the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and the CAM-ICU-7 delirium severity score. Results: Overall, 44.4% of patients in the cohort had delirium. Prevalence was higher among patients with intracerebral hemorrhage (38%, 60%, and 32% in patients with acute ischemic stroke, intracerebral hemorrhage, and aneurysmal subarachnoid hemorrhage, respectively). Mean CAM-ICU-7 score for patients who had delirium was 5.64. Regression analyses showed patients with delirium had more ventilator days (point estimate, 2.59; 95% CI, 0.73-4.44), longer ICU and hospital lengths of stay (point estimates, 3.33 [95% CI, 1.36-5.31] and 6.76 [3.43-10.09], respectively), lower odds of discharge home (odds ratio, 0.42; 95% CI, 0.19-0.94), and higher odds of worse modified Rankin score of 3 or higher at discharge (odds ratio, 2.58; 95% CI, 1.04-6.36). Higher delirium severity resulted in worse outcomes. Conclusions: Delirium is common among critically ill stroke patients, especially those with intracerebral hemorrhage, and patients who experience delirium have worse outcomes. Increasing severity of delirium is associated with adverse outcomes. pubtype: Academic Journal doctype: CEU research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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