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Delirium in cancer patients admitted to the intensive care unit: a retrospective study

OBJECTIVE: To describe the occurrence of delirium in cancer patients admitted to the intensive care unit according to clinical and demographic characteristics. METHODS: A retrospective study was conducted with 135 adults admitted to the intensive care unit of a public cancer hospital in the city of...

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Autores principales: Gouveia, Bárbara Rocha, Jomar, Rafael Tavares, Valente, Tania Cristina de Oliveira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação de Medicina Intensiva Brasileira - AMIB 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008997/
https://www.ncbi.nlm.nih.gov/pubmed/31967229
http://dx.doi.org/10.5935/0103-507X.20190064
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author Gouveia, Bárbara Rocha
Jomar, Rafael Tavares
Valente, Tania Cristina de Oliveira
author_facet Gouveia, Bárbara Rocha
Jomar, Rafael Tavares
Valente, Tania Cristina de Oliveira
author_sort Gouveia, Bárbara Rocha
collection PubMed
description OBJECTIVE: To describe the occurrence of delirium in cancer patients admitted to the intensive care unit according to clinical and demographic characteristics. METHODS: A retrospective study was conducted with 135 adults admitted to the intensive care unit of a public cancer hospital in the city of Rio de Janeiro, Brazil, between January and March 2016. Fisher's exact test and the linear association test were used to identify statistically significant associations between the occurrence of delirium and categorical and ordinal variables, respectively, considering a p-value < 0.05. RESULTS: The overall occurrence of delirium was 39.3%. Delirium was more frequent among individuals aged 60 years or older and those who required extensive assistance or were bedbound, were admitted to the intensive care unit for clinical reasons, were using sedative drugs, were undergoing chemotherapy, and those who remained 8 or more days in the intensive care unit. Considering only patients on mechanical ventilation, the overall occurrence of delirium was 64.6%, and only a length of stay in the intensive care unit ≥ 8 days showed a statistically significant association with delirium. CONCLUSION: The occurrence of delirium in critically ill cancer patients is high. When only those on mechanical ventilation are considered, the occurrence of delirium is even greater.
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spelling pubmed-70089972020-02-13 Delirium in cancer patients admitted to the intensive care unit: a retrospective study Gouveia, Bárbara Rocha Jomar, Rafael Tavares Valente, Tania Cristina de Oliveira Rev Bras Ter Intensiva Original Articles OBJECTIVE: To describe the occurrence of delirium in cancer patients admitted to the intensive care unit according to clinical and demographic characteristics. METHODS: A retrospective study was conducted with 135 adults admitted to the intensive care unit of a public cancer hospital in the city of Rio de Janeiro, Brazil, between January and March 2016. Fisher's exact test and the linear association test were used to identify statistically significant associations between the occurrence of delirium and categorical and ordinal variables, respectively, considering a p-value < 0.05. RESULTS: The overall occurrence of delirium was 39.3%. Delirium was more frequent among individuals aged 60 years or older and those who required extensive assistance or were bedbound, were admitted to the intensive care unit for clinical reasons, were using sedative drugs, were undergoing chemotherapy, and those who remained 8 or more days in the intensive care unit. Considering only patients on mechanical ventilation, the overall occurrence of delirium was 64.6%, and only a length of stay in the intensive care unit ≥ 8 days showed a statistically significant association with delirium. CONCLUSION: The occurrence of delirium in critically ill cancer patients is high. When only those on mechanical ventilation are considered, the occurrence of delirium is even greater. Associação de Medicina Intensiva Brasileira - AMIB 2019 /pmc/articles/PMC7008997/ /pubmed/31967229 http://dx.doi.org/10.5935/0103-507X.20190064 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Gouveia, Bárbara Rocha
Jomar, Rafael Tavares
Valente, Tania Cristina de Oliveira
Delirium in cancer patients admitted to the intensive care unit: a retrospective study
title Delirium in cancer patients admitted to the intensive care unit: a retrospective study
title_full Delirium in cancer patients admitted to the intensive care unit: a retrospective study
title_fullStr Delirium in cancer patients admitted to the intensive care unit: a retrospective study
title_full_unstemmed Delirium in cancer patients admitted to the intensive care unit: a retrospective study
title_short Delirium in cancer patients admitted to the intensive care unit: a retrospective study
title_sort delirium in cancer patients admitted to the intensive care unit: a retrospective study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008997/
https://www.ncbi.nlm.nih.gov/pubmed/31967229
http://dx.doi.org/10.5935/0103-507X.20190064
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