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Delirium characteristics and outcomes in medical and surgical lnpatients: A subgroup analysis

Authors
 Sungmin Kim  ;  Jae-Jin Kim  ;  Jooyoung Oh  ;  Jaesub Park  ;  Jin Young Park 
Citation
 JOURNAL OF CRITICAL CARE, Vol.43 : 156-162, 2018 
Journal Title
 JOURNAL OF CRITICAL CARE 
ISSN
 0883-9441 
Issue Date
2018
MeSH
Aged ; 80 and over Aged ; Antipsychotic Agents/therapeutic use ; Benzodiazepines/therapeutic use ; Case-Control Studies ; Critical Care ; Delirium/drug therapy/*epidemiology/physiopathology ; Disease Progression ; Female ; *Hospitalization ; Humans ; Intensive Care Units ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Outcome Assessment (Health Care) ; Patient Discharge ; Postoperative Complications/drug therapy/*epidemiology/physiopathology ; Recovery of Function ; Republic of Korea/epidemiology ; Time Factors
Keywords
Delirium duration ; Disease characteristics ; Medical patients ; Postoperative delirium ; Surgical patients
Abstract
PURPOSE: Persistent delirium can negatively affect patients, increase healthcare costs, and extend the length of hospital stays. This investigation was undertaken to explore associations between patient characteristics and delirium outcomes. MATERIALS AND METHODS: Intensive care unit (ICU) and medical and surgical ward inpatients for whom psychiatric consultation was requested for delirium were included in this study. Delirium screening and ongoing assessments were conducted using the Confusion Assessment Method for ICU patients. RESULTS: Postoperative delirium developing as a secondary complication following surgery was found to be of significantly longer duration and associated with greater length of hospitalization compared with postoperative delirium attributable to surgery and delirium in medical patients. Medical patients with delirium had lower delirium recovery rates at discharge compared with surgical patients. CONCLUSIONS: The findings that patient type and timing of postoperative delirium are associated with differential delirium outcomes suggest that targeted screening and intervention approaches may be needed. Medical patients were more likely to be discharged before recovery from delirium compared with surgical patients. Differences in underlying chronic medical conditions may account for the observed differences in discharge condition between medical and surgical patients with delirium.
Full Text
https://www.sciencedirect.com/science/article/pii/S0883944117306056
DOI
10.1016/j.jcrc.2017.08.011
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jae Jin(김재진) ORCID logo https://orcid.org/0000-0002-1395-4562
Park, Jaesub(박재섭)
Park, Jin Young(박진영) ORCID logo https://orcid.org/0000-0002-5351-9549
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/161878
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