tailieunhanh - Báo cáo y học: " Predisposing factors for delirium in the surgical intensive care unit"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Predisposing factors for delirium in the surgical intensive care unit. | Available online http content 5 5 265 Research article Predisposing factors for delirium in the surgical intensive care unit Mustafa Aldemir Sakir Ozen Ismail H Kara Aytekin Sir and Bilsel Baọ Department of General Surgery Dicle University Faculty of Medicine Diyarbakir Turkey Department of Psychiatry Dicle University Faculty of Medicine Diyarbakir Turkey Department of Family Practice Dicle University Faculty of Medicine Diyarbakir Turkey Correspondence Mustafa Aldemir maldemir21@ Received 5 March 2001 Critical Care 2001 5 265-270 Revisions requested 9 July 2001 Revisions received 31 July 2001 Accepted 1 August 2001 2001 Aldemir et al licensee BioMed Central Ltd Published 6 September 2001 Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Background Delirium is a sign of deterioration in the homeostasis and physical status of the patient. The objective of our study was to investigate the predisposing factors for delirium in a surgical intensive care unit ICU setting. Method Between January 1996 and 1997 we screened prospectively 818 patients who were consecutive applicants to the general surgery service of Dicle-University Hospital and had been kept in the ICU for delirium. All patients were hospitalized either for elective or emergency services and were treated either with medication and or surgery. Suspected cases of delirium were identified during daily interviews. The patients who had changes in the status of consciousness n 150 were consulted with an experienced consultation-liaison psychiatrist. The diagnosis of delirium was based on Diagnostic and Statistical Manual of Mental Disorders revised third edition criteria and established through psychiatric interviews. Patients were divided into two groups the delirious group DG n 90 and the non-delirious group NDG n 728 . During delirium all abnormal findings related to physical conditions laboratory features and additional diseases were evaluated as probable risk factors of delirium. .