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국내 일 병원 중환자실에서 관찰한 섬망 환자의 예후

Other Titles
 Impact of Delirium on Clinical Outcomes in Intensive Care Unit Patients : An Observational Study in a Korean General Hospital 
Authors
 손정현  ;  라세희  ;  신증수  ;  손인정  ;  오주영  ;  안지선  ;  안석균  ;  김재진  ;  박진영 
Citation
 Journal of the Korean Neuropsychiatric Association, Vol.53(6) : 418-425, 2014 
Journal Title
 Journal of the Korean Neuropsychiatric Association (신경정신의학) 
ISSN
 1015-4817 
Issue Date
2014
Keywords
Intensive care unit ; Delirium ; Length of stay ; Mortality ; Clinical outcome
Abstract
Objectives : The purpose of this study is to evaluate the impact of delirium on clinical outcomes in intensive care unit (ICU) patients in a Korean general hospital. Methods : All patients admitted to ICU from March 1, 2013 to October 31, 2013 were assessed by Confusion Assessment Method adapted for use in the ICU for delirium daily, and consistently comatose patients were excluded for analysis. Differences in clinical outcomes (mortality, length of hospital stay, length of ICU stay) were analyzed between delirious patients and non-delirious patients. Subsequently, the impact of delirium on clinical outcomes was analyzed with adjusting for covariates including surgery, age, emergent admission, presence of surgery, and severity of illness. Results : The analysis included 129 delirious patients and 469 non-delirious patients. As primary outcome, mortality, length of stay (hospital day, ICU-stay) were significantly high in the delirious group. The association remained the same after adjusting for the covariates. Conclusion : The results correspond with those of previous research studies conducted in foreign ICU. Based on this observation that delirium also has an impact on clinical outcomes in Korean ICU, integrative and in-depth investigation on ICU delirium will be needed.
Files in This Item:
T201405530.pdf Download
DOI
10.4306/jknpa.2014.53.6.418
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jae Jin(김재진) ORCID logo https://orcid.org/0000-0002-1395-4562
Na, Se Hee(라세희) ORCID logo https://orcid.org/0000-0003-4208-0769
Park, Jin Young(박진영) ORCID logo https://orcid.org/0000-0002-5351-9549
Shin, Cheung Soo(신증수) ORCID logo https://orcid.org/0000-0001-7829-8458
An, Suk Kyoon(안석균) ORCID logo https://orcid.org/0000-0003-4576-6184
Oh, Jooyoung(오주영) ORCID logo https://orcid.org/0000-0001-6721-399X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/138716
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