Prevalence and management of delirium in intensive care units in the Netherlands: An observational multicentre study
This study aimed to determine the prevalence, risk factors of delirium and current practice of delirium management in intensive care units of various levels of care. Prospective multicentre cohort study. In all adult patients admitted to one of the participating intensive care units on World Deliriu...
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| Veröffentlicht in: | Intensive & critical care nursing 2020-12, Vol.61, p.102925-102925, Article 102925 |
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| creator | Berger, Elke Wils, Evert-Jan Vos, Piet van Santen, Susanne Koets, Jeroen Slooter, Arjen J.C. van der Woude, Meta Koopmans, Matty Rinket, Martin A. Hoiting, Oscar Hoogendoorn, Emma E. Streefkerk, Jörn O. de Vreede, Els W. Riekerk, Bea Simons, Koen S. Toscano, Eryk Schoonderbeek, F Jeannette Hofstra, Lieuwe S. van den Oever, Huub L.A. Raben, Adrienne M.T.J. Holman, Susanne Nooteboom, Fleur Bethlehem, Carina ten Cate, Julia Verkade, Martijn Mijzen, Lisa de Man-van Ginkel, Janneke M. Vermeulen, Hester van den Boogaard, Mark |
| description | This study aimed to determine the prevalence, risk factors of delirium and current practice of delirium management in intensive care units of various levels of care.
Prospective multicentre cohort study.
In all adult patients admitted to one of the participating intensive care units on World Delirium Awareness Day 2018, delirium point and period prevalence rates were measured between ICU admission and seven days after the index day.
In total, 28 (33%) Dutch intensive care units participated in this study. Point-prevalence was 23% (range 41), and period-prevalence was 42% (range 70). University intensive care units had a significantly higher delirium point-prevalence compared with non-university units (26% vs.15%, p = 0.02). No significant difference were found in period prevalence (50% vs. 39%, p = 0.09). Precipitating risk factors, infection and mechanical ventilation differed significantly between delirium and non-delirium patients. No differences were observed for predisposing risk factors. A delirium protocol was present in 89% of the ICUs. Mean delirium assessment compliance measured was 84% (±19) in 14 units and estimated 59% (±29) in the other 14.
Delirium prevalence in Dutch intensive care units is substantial and occurs with a large variation, with the highest prevalence in university units. Precipitating risk factors were more frequent in patients with delirium. In the majority of units a delirium management protocol is in place. |
| doi_str_mv | 10.1016/j.iccn.2020.102925 |
| format | Article |
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Prospective multicentre cohort study.
In all adult patients admitted to one of the participating intensive care units on World Delirium Awareness Day 2018, delirium point and period prevalence rates were measured between ICU admission and seven days after the index day.
In total, 28 (33%) Dutch intensive care units participated in this study. Point-prevalence was 23% (range 41), and period-prevalence was 42% (range 70). University intensive care units had a significantly higher delirium point-prevalence compared with non-university units (26% vs.15%, p = 0.02). No significant difference were found in period prevalence (50% vs. 39%, p = 0.09). Precipitating risk factors, infection and mechanical ventilation differed significantly between delirium and non-delirium patients. No differences were observed for predisposing risk factors. A delirium protocol was present in 89% of the ICUs. Mean delirium assessment compliance measured was 84% (±19) in 14 units and estimated 59% (±29) in the other 14.
Delirium prevalence in Dutch intensive care units is substantial and occurs with a large variation, with the highest prevalence in university units. Precipitating risk factors were more frequent in patients with delirium. In the majority of units a delirium management protocol is in place.</description><identifier>ISSN: 0964-3397</identifier><identifier>EISSN: 1532-4036</identifier><identifier>DOI: 10.1016/j.iccn.2020.102925</identifier><identifier>PMID: 32868188</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Age ; Anesthesia ; Cohort analysis ; Cohort Studies ; Colleges & universities ; Comorbidity ; Critical Care ; Critical Care Nursing ; Critically ill ; Data dictionaries ; Delirium ; Delirium management ; Humans ; Hypertension ; ICU ; Illnesses ; Intensive care ; Intensive Care Units ; Mechanical ventilation ; Multicenter studies ; Netherlands ; Pain ; Participation ; Physical restraints ; Prevalence ; Prospective Studies ; Research methodology ; Risk Factors ; Ventilation ; Ventilators</subject><ispartof>Intensive & critical care nursing, 2020-12, Vol.61, p.102925-102925, Article 102925</ispartof><rights>2020 Elsevier Ltd</rights><rights>Copyright © 2020 Elsevier Ltd. All rights reserved.</rights><rights>2020. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-f00a09fa0436ec68b6d349a1f424b0a68479c8f6da915623b828a4fc88733a503</citedby><cites>FETCH-LOGICAL-c433t-f00a09fa0436ec68b6d349a1f424b0a68479c8f6da915623b828a4fc88733a503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0964339720301282$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,12825,27901,27902,30976,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32868188$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berger, Elke</creatorcontrib><creatorcontrib>Wils, Evert-Jan</creatorcontrib><creatorcontrib>Vos, Piet</creatorcontrib><creatorcontrib>van Santen, Susanne</creatorcontrib><creatorcontrib>Koets, Jeroen</creatorcontrib><creatorcontrib>Slooter, Arjen J.C.</creatorcontrib><creatorcontrib>van der Woude, Meta</creatorcontrib><creatorcontrib>Koopmans, Matty</creatorcontrib><creatorcontrib>Rinket, Martin A.</creatorcontrib><creatorcontrib>Hoiting, Oscar</creatorcontrib><creatorcontrib>Hoogendoorn, Emma E.</creatorcontrib><creatorcontrib>Streefkerk, Jörn O.</creatorcontrib><creatorcontrib>de Vreede, Els W.</creatorcontrib><creatorcontrib>Riekerk, Bea</creatorcontrib><creatorcontrib>Simons, Koen S.</creatorcontrib><creatorcontrib>Toscano, Eryk</creatorcontrib><creatorcontrib>Schoonderbeek, F Jeannette</creatorcontrib><creatorcontrib>Hofstra, Lieuwe S.</creatorcontrib><creatorcontrib>van den Oever, Huub L.A.</creatorcontrib><creatorcontrib>Raben, Adrienne M.T.J.</creatorcontrib><creatorcontrib>Holman, Susanne</creatorcontrib><creatorcontrib>Nooteboom, Fleur</creatorcontrib><creatorcontrib>Bethlehem, Carina</creatorcontrib><creatorcontrib>ten Cate, Julia</creatorcontrib><creatorcontrib>Verkade, Martijn</creatorcontrib><creatorcontrib>Mijzen, Lisa</creatorcontrib><creatorcontrib>de Man-van Ginkel, Janneke M.</creatorcontrib><creatorcontrib>Vermeulen, Hester</creatorcontrib><creatorcontrib>van den Boogaard, Mark</creatorcontrib><title>Prevalence and management of delirium in intensive care units in the Netherlands: An observational multicentre study</title><title>Intensive & critical care nursing</title><addtitle>Intensive Crit Care Nurs</addtitle><description>This study aimed to determine the prevalence, risk factors of delirium and current practice of delirium management in intensive care units of various levels of care.
Prospective multicentre cohort study.
In all adult patients admitted to one of the participating intensive care units on World Delirium Awareness Day 2018, delirium point and period prevalence rates were measured between ICU admission and seven days after the index day.
In total, 28 (33%) Dutch intensive care units participated in this study. Point-prevalence was 23% (range 41), and period-prevalence was 42% (range 70). University intensive care units had a significantly higher delirium point-prevalence compared with non-university units (26% vs.15%, p = 0.02). No significant difference were found in period prevalence (50% vs. 39%, p = 0.09). Precipitating risk factors, infection and mechanical ventilation differed significantly between delirium and non-delirium patients. No differences were observed for predisposing risk factors. A delirium protocol was present in 89% of the ICUs. Mean delirium assessment compliance measured was 84% (±19) in 14 units and estimated 59% (±29) in the other 14.
Delirium prevalence in Dutch intensive care units is substantial and occurs with a large variation, with the highest prevalence in university units. Precipitating risk factors were more frequent in patients with delirium. In the majority of units a delirium management protocol is in place.</description><subject>Adult</subject><subject>Age</subject><subject>Anesthesia</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Colleges & universities</subject><subject>Comorbidity</subject><subject>Critical Care</subject><subject>Critical Care Nursing</subject><subject>Critically ill</subject><subject>Data dictionaries</subject><subject>Delirium</subject><subject>Delirium management</subject><subject>Humans</subject><subject>Hypertension</subject><subject>ICU</subject><subject>Illnesses</subject><subject>Intensive care</subject><subject>Intensive Care Units</subject><subject>Mechanical ventilation</subject><subject>Multicenter studies</subject><subject>Netherlands</subject><subject>Pain</subject><subject>Participation</subject><subject>Physical restraints</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Research 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Fleur</au><au>Bethlehem, Carina</au><au>ten Cate, Julia</au><au>Verkade, Martijn</au><au>Mijzen, Lisa</au><au>de Man-van Ginkel, Janneke M.</au><au>Vermeulen, Hester</au><au>van den Boogaard, Mark</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and management of delirium in intensive care units in the Netherlands: An observational multicentre study</atitle><jtitle>Intensive & critical care nursing</jtitle><addtitle>Intensive Crit Care Nurs</addtitle><date>2020-12</date><risdate>2020</risdate><volume>61</volume><spage>102925</spage><epage>102925</epage><pages>102925-102925</pages><artnum>102925</artnum><issn>0964-3397</issn><eissn>1532-4036</eissn><abstract>This study aimed to determine the prevalence, risk factors of delirium and current practice of delirium management in intensive care units of various levels of care.
Prospective multicentre cohort study.
In all adult patients admitted to one of the participating intensive care units on World Delirium Awareness Day 2018, delirium point and period prevalence rates were measured between ICU admission and seven days after the index day.
In total, 28 (33%) Dutch intensive care units participated in this study. Point-prevalence was 23% (range 41), and period-prevalence was 42% (range 70). University intensive care units had a significantly higher delirium point-prevalence compared with non-university units (26% vs.15%, p = 0.02). No significant difference were found in period prevalence (50% vs. 39%, p = 0.09). Precipitating risk factors, infection and mechanical ventilation differed significantly between delirium and non-delirium patients. No differences were observed for predisposing risk factors. A delirium protocol was present in 89% of the ICUs. Mean delirium assessment compliance measured was 84% (±19) in 14 units and estimated 59% (±29) in the other 14.
Delirium prevalence in Dutch intensive care units is substantial and occurs with a large variation, with the highest prevalence in university units. Precipitating risk factors were more frequent in patients with delirium. In the majority of units a delirium management protocol is in place.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>32868188</pmid><doi>10.1016/j.iccn.2020.102925</doi><tpages>1</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0964-3397 |
| ispartof | Intensive & critical care nursing, 2020-12, Vol.61, p.102925-102925, Article 102925 |
| issn | 0964-3397 1532-4036 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2439635050 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Age Anesthesia Cohort analysis Cohort Studies Colleges & universities Comorbidity Critical Care Critical Care Nursing Critically ill Data dictionaries Delirium Delirium management Humans Hypertension ICU Illnesses Intensive care Intensive Care Units Mechanical ventilation Multicenter studies Netherlands Pain Participation Physical restraints Prevalence Prospective Studies Research methodology Risk Factors Ventilation Ventilators |
| title | Prevalence and management of delirium in intensive care units in the Netherlands: An observational multicentre study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T08%3A11%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prevalence%20and%20management%20of%20delirium%20in%20intensive%20care%20units%20in%20the%20Netherlands:%20An%20observational%20multicentre%20study&rft.jtitle=Intensive%20&%20critical%20care%20nursing&rft.au=Berger,%20Elke&rft.date=2020-12&rft.volume=61&rft.spage=102925&rft.epage=102925&rft.pages=102925-102925&rft.artnum=102925&rft.issn=0964-3397&rft.eissn=1532-4036&rft_id=info:doi/10.1016/j.iccn.2020.102925&rft_dat=%3Cproquest_cross%3E2460598893%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2460598893&rft_id=info:pmid/32868188&rft_els_id=S0964339720301282&rfr_iscdi=true |