tailieunhanh - Báo cáo y học: "Broadening our perspectives on ICU delirium risk factors"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Broadening our perspectives on ICU delirium risk factors. | Available online http content 13 4 160 Commentary Broadening our perspectives on ICU delirium risk factors Yoanna Skrobik1 1 Department of Medicine and Critical Care Université de Montreal Hopital Maisonneuve Rosemont Soins Intensifs 5415 boul. de l Assomption Montreal Quebec Canada H1T 2M4 Corresponding author Yoanna Skrobik skrobik@ Published 1 July 2009 This article is online at http content 13 4 160 2009 BioMed Central Ltd Critical Care 2009 13 160 doi cc7917 See related research by Van Rompaey et al. http content 13 3 R77 Abstract ICU delirium is associated with poor patient outcome. Risk factor stratification is essential to the understanding prevention and treatment of this disorder. Alcohol consumption smoking and prior cognitive impairment appear strongly correlated with delirium risk. Several potentially modifiable associations deserve prospective study these include administration of sedatives and opiates multiple catheters as well as minimizing physical restraints and enabling visitors. One of the few well-understood features of intensive care unit ICU delirium is its association with poor patient outcome. Risk factor stratification is essential to the understanding prevention and treatment of any disorder and is a cornerstone of scientific endeavor in clinical research. The largest study on ICU delirium risk factors to date is published in the previous issue of Critical Care 1 . Delirium in the critical care setting is said to occur in 22 to over 80 of patients. Such broad variations in delirium incidence may be partly attributable to differences in predisposing risk factors which may differ between ICUs. Comorbidities present prior to ICU admission have particularly seldom been considered in ICU delirium studies 2 several of them are discussed in the paper by Van Rompaey and colleagues 1 . Physicians hold opinions on the risks and benefits of environmental factors for example physical restraints