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The Effects of a Delirium Notification Program on the Clinical Outcomes of the Intensive Care Unit: A Preliminary Pilot Study

Authors
 Jaesub Park  ;  Seung-Taek Oh  ;  Sunyoung Park  ;  Won-Jung Choi  ;  Cheung Soo Shin  ;  Se Hee Na  ;  Jae-Jin Kim  ;  Jooyoung Oh  ;  Jin Young Park 
Citation
 Acute and Critical Care, Vol.33(1) : 23-33, 2018 
Journal Title
 Acute and Critical Care 
ISSN
 2586-6052 
Issue Date
2018
Keywords
anxiety ; critical illness ; delirium ; intensive care units ; pain ; reminder systems
Abstract
Background : Delirium is common among intensive care unit (ICU) patients, so recent clinical guidelines recommended routine delirium monitoring in the ICU. But, its effect on the patient’s clinical outcome is still controversial. In particular, the effect of systems that inform the primary physician of the results of monitoring is largely unknown. Methods : The delirium notification program using bedside signs and electronic chart notifications was applied to the pre-existing delirium monitoring protocol. Every patient was routinely evaluated for delirium, pain, and anxiety using validated tools. Clinical outcomes, including duration of delirium, ICU stay, and mortality were reviewed and compared for 3 months before and after the program implementation. Results : There was no significant difference between the two periods of delirium, ICU stay, and mortality. However, anxiety, an important prognostic factor in the ICU survivor’s mental health, was significantly reduced and pain tended to decrease. Conclusions : Increasing the physician’s awareness of the patient’s mental state by using a notification program could reduce the anxiety of ICU patients even though it may not reduce delirium. The results suggested that the method of delivering the results of monitoring was also an important factor in the success of the delirium monitoring program.
Files in This Item:
T201806034.pdf Download
DOI
10.4266/acc.2017.00584
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
Na, Se Hee(라세희) ORCID logo https://orcid.org/0000-0003-4208-0769
Park, Jaesub(박재섭)
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
Oh, Jooyoung(오주영) ORCID logo https://orcid.org/0000-0001-6721-399X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/170844
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