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Clinical Features of Delirium among Patients in the Intensive Care Unit According to Motor Subtype Classification: A Retrospective Longitudinal Study
DC Field | Value | Language |
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dc.contributor.author | 김민경 | - |
dc.contributor.author | 박진영 | - |
dc.contributor.author | 신증수 | - |
dc.contributor.author | 오주영 | - |
dc.contributor.author | 정경미 | - |
dc.date.accessioned | 2024-01-16T01:45:27Z | - |
dc.date.available | 2024-01-16T01:45:27Z | - |
dc.date.issued | 2023-12 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/197729 | - |
dc.description.abstract | Purpose : Delirium in the intensive care unit (ICU) poses a significant safety and socioeconomic burden to patients and caregivers. However, invasive interventions for managing delirium have severe drawbacks. To reduce unnecessary interventions during ICU hospitalization, we aimed to investigate the features of delirium among ICU patients according to the occurrence of hypoactive symptoms, which are not expected to require invasive intervention. Materials and Methods : Psychiatrists assessed all patients with delirium in the ICU during hospitalization. Patients were grouped into two groups: a “non-hypoactive” group that experienced the non-hypoactive motor subtype once or more or a “hypoactive only” group that only experienced the hypoactive motor subtype. Clinical variables routinely gathered for clinical management were collected from electronic medical records. Group comparisons and logistic regression analyses were conducted. Results : The non-hypoactive group had longer and more severe delirium episodes than the hypoactive only group. Although the non-hypoactive group was prescribed more antipsychotics and required restraints longer, the hypoactive only group also received both interventions. In multivariable logistic regression analysis, BUN [odds ratio (OR): 0.993, pH OR: 0.202], sodium (OR: 1.022), RASS score (OR: 1.308) and whether restraints were applied [OR: 1.579 (95% confidence interval 1.194–2.089), p<0.001] were significant predictors of hypoactive only group classification. Conclusion : Managing and predicting delirium patients based on whether patients experienced non-hypoactive delirium may be clinically important. Variables obtained during the initial 48 hours can be used to determine which patients are likely to require invasive interventions. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | Yonsei University | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Antipsychotic Agents* / therapeutic use | - |
dc.subject.MESH | Delirium* / diagnosis | - |
dc.subject.MESH | Delirium* / drug therapy | - |
dc.subject.MESH | Delirium* / epidemiology | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intensive Care Units | - |
dc.subject.MESH | Longitudinal Studies | - |
dc.subject.MESH | Retrospective Studies | - |
dc.title | Clinical Features of Delirium among Patients in the Intensive Care Unit According to Motor Subtype Classification: A Retrospective Longitudinal Study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Others | - |
dc.contributor.googleauthor | Junhyung Kim | - |
dc.contributor.googleauthor | Jooyoung Oh | - |
dc.contributor.googleauthor | Ji Seon Ahn | - |
dc.contributor.googleauthor | Kyungmi Chung | - |
dc.contributor.googleauthor | Min-Kyeong Kim | - |
dc.contributor.googleauthor | Cheung Soo Shin | - |
dc.contributor.googleauthor | Jin Young Park | - |
dc.identifier.doi | 10.3349/ymj.2023.0113 | - |
dc.contributor.localId | A04894 | - |
dc.contributor.localId | A01701 | - |
dc.contributor.localId | A02159 | - |
dc.contributor.localId | A05289 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 37992743 | - |
dc.subject.keyword | Delirium | - |
dc.subject.keyword | antipsychotics | - |
dc.subject.keyword | intensive care unit | - |
dc.subject.keyword | physical restraint | - |
dc.contributor.alternativeName | Kim, Min Kyung | - |
dc.contributor.affiliatedAuthor | 김민경 | - |
dc.contributor.affiliatedAuthor | 박진영 | - |
dc.contributor.affiliatedAuthor | 신증수 | - |
dc.contributor.affiliatedAuthor | 오주영 | - |
dc.citation.volume | 64 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 712 | - |
dc.citation.endPage | 720 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.64(12) : 712-720, 2023-12 | - |
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