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A multicentre point prevalence study of delirium assessment and management in patients admitted to Australian and New Zealand intensive care units
Objective: To characterise the assessment and management of delirium in patients admitted to intensive care units (ICUs) in Australia and New Zealand. Methods: We conducted a multicentre observational point prevalence study across 44 adult Australian and New Zealand ICUs. Data were extracted for all...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10692531/ https://www.ncbi.nlm.nih.gov/pubmed/38046881 http://dx.doi.org/10.51893/2020.4.OA8 |
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author | Ankravs, Melissa J. Udy, Andrew A. Byrne, Kathleen Knowles, Serena Hammond, Naomi Saxena, Manoj K. Reade, Michael C. Bailey, Michael Bellomo, Rinaldo Deane, Adam M. |
author_facet | Ankravs, Melissa J. Udy, Andrew A. Byrne, Kathleen Knowles, Serena Hammond, Naomi Saxena, Manoj K. Reade, Michael C. Bailey, Michael Bellomo, Rinaldo Deane, Adam M. |
author_sort | Ankravs, Melissa J. |
collection | PubMed |
description | Objective: To characterise the assessment and management of delirium in patients admitted to intensive care units (ICUs) in Australia and New Zealand. Methods: We conducted a multicentre observational point prevalence study across 44 adult Australian and New Zealand ICUs. Data were extracted for all patients in the ICU in terms of assessment and treatment of delirium. ICU-level data were collected regarding the use of explicit protocols related to delirium. Results: We studied 627 patients, with 54% (336/627) having at least one delirium screening assessment performed. The Confusion Assessment Method for the ICU (CAM-ICU) was the most frequently used tool (88%, 296/336). Of patients assessed, 20% (68) were identified to have delirium. Eighteen per cent (111) of patients were administered a drug to manage delirium, with 41% (46) of those receiving a drug having no recorded assessment for delirium on that day. Of the drugs used to treat delirium, quetiapine was the most frequently administered. Physical restraints were applied to 8% (48/626) of patients, but only 17% (8/48) of such patients had been diagnosed with delirium. Most physically restrained patients either did not have delirium diagnosed (31%, 15/48) or had no formal assessment recorded (52%, 25/48) on that day. Conclusions: On the study day, more than 50% of patients had a delirium screening assessment performed, with 20% of screened patients deemed to have delirium. Drugs that are prescribed to treat delirium and physical restraints were frequently used in the absence of delirium or the formal assessment for its presence. |
format | Online Article Text |
id | pubmed-10692531 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-106925312023-12-03 A multicentre point prevalence study of delirium assessment and management in patients admitted to Australian and New Zealand intensive care units Ankravs, Melissa J. Udy, Andrew A. Byrne, Kathleen Knowles, Serena Hammond, Naomi Saxena, Manoj K. Reade, Michael C. Bailey, Michael Bellomo, Rinaldo Deane, Adam M. Crit Care Resusc Original Articles Objective: To characterise the assessment and management of delirium in patients admitted to intensive care units (ICUs) in Australia and New Zealand. Methods: We conducted a multicentre observational point prevalence study across 44 adult Australian and New Zealand ICUs. Data were extracted for all patients in the ICU in terms of assessment and treatment of delirium. ICU-level data were collected regarding the use of explicit protocols related to delirium. Results: We studied 627 patients, with 54% (336/627) having at least one delirium screening assessment performed. The Confusion Assessment Method for the ICU (CAM-ICU) was the most frequently used tool (88%, 296/336). Of patients assessed, 20% (68) were identified to have delirium. Eighteen per cent (111) of patients were administered a drug to manage delirium, with 41% (46) of those receiving a drug having no recorded assessment for delirium on that day. Of the drugs used to treat delirium, quetiapine was the most frequently administered. Physical restraints were applied to 8% (48/626) of patients, but only 17% (8/48) of such patients had been diagnosed with delirium. Most physically restrained patients either did not have delirium diagnosed (31%, 15/48) or had no formal assessment recorded (52%, 25/48) on that day. Conclusions: On the study day, more than 50% of patients had a delirium screening assessment performed, with 20% of screened patients deemed to have delirium. Drugs that are prescribed to treat delirium and physical restraints were frequently used in the absence of delirium or the formal assessment for its presence. Elsevier 2023-10-18 /pmc/articles/PMC10692531/ /pubmed/38046881 http://dx.doi.org/10.51893/2020.4.OA8 Text en © 2020 College of Intensive Care Medicine of Australia and New Zealand. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Articles Ankravs, Melissa J. Udy, Andrew A. Byrne, Kathleen Knowles, Serena Hammond, Naomi Saxena, Manoj K. Reade, Michael C. Bailey, Michael Bellomo, Rinaldo Deane, Adam M. A multicentre point prevalence study of delirium assessment and management in patients admitted to Australian and New Zealand intensive care units |
title | A multicentre point prevalence study of delirium assessment and management in patients admitted to Australian and New Zealand intensive care units |
title_full | A multicentre point prevalence study of delirium assessment and management in patients admitted to Australian and New Zealand intensive care units |
title_fullStr | A multicentre point prevalence study of delirium assessment and management in patients admitted to Australian and New Zealand intensive care units |
title_full_unstemmed | A multicentre point prevalence study of delirium assessment and management in patients admitted to Australian and New Zealand intensive care units |
title_short | A multicentre point prevalence study of delirium assessment and management in patients admitted to Australian and New Zealand intensive care units |
title_sort | multicentre point prevalence study of delirium assessment and management in patients admitted to australian and new zealand intensive care units |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10692531/ https://www.ncbi.nlm.nih.gov/pubmed/38046881 http://dx.doi.org/10.51893/2020.4.OA8 |
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