Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/240
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dc.contributor.authorHill, Dianneen
dc.contributor.authorTauschke, Christineen
dc.contributor.authorRoberts, Brigiten
dc.contributor.authorRickard, Claire M.en
dc.contributor.authorRajbhandari, Dorrilynen
dc.contributor.authorTurner, Gillianen
dc.contributor.authorClarke, Janeen
dc.contributor.authorChaboyer, Wendyen
dc.contributor.authorParsons, Richarden
dc.date.accessioned2013-05-20T01:58:18Zen
dc.date.available2013-05-20T01:58:18Zen
dc.date.issued2005en
dc.identifier.govdoc00222en
dc.identifier.issn1036-7314en
dc.identifier.urihttp://hdl.handle.net/11054/240en
dc.description.abstractTraditionally, intensive care unit (ICU) delirium was viewed as benign and was under-diagnosed in the absence of ICU-appropriate screening tools. Research suggests that up to half of all ICU patients experiencing delirium will continue to do so after discharge to the ward, and half of those experiencing delirium in the ward will die within 1 year of delirium diagnosis. ICU-specific screening tools are now available. The purpose of this study was to identify the incidence of delirium in ICU and explore its associations to clinical factors and outcomes. A secondary aim was to evaluate the usefulness of the intensive care delirium screening checklist (ICDSC). A total of 185 patients in six ICUs in Australia and New Zealand were screened for delirium using the ICDSC over two 12-hour periods per day for the duration of their ICU admission. Some 84 patients (45%) developed delirium. Development of delirium was associated with increased severity of illness (acute physiology and chronic health evaluation — APACHE II — and sequential organ failure assessment — SOFA), ICU length of stay (LOS), and use of psycho-active drugs. Delirious patients showed no statistically significant difference in ICU and hospital mortality rates, nor prolonged hospital LOS. The ICDSC was found to be user-friendly. The incidence of delirium, observed characteristics and outcomes for patients admitted to Australian and New Zealand ICUs for >36 hours without any history of altered mental state fell in the mid-range and were generally consistent with previous literature. An ICU-specific delirium assessment, such as the ICDSC, should be included in routine ICU observations to minimise under-diagnosis of this serious phenomenon.en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2013-05-13T03:17:21Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2013-05-20T01:58:18Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2013-05-20T01:58:18Z (GMT). No. of bitstreams: 0 Previous issue date: 2005en
dc.publisherElsevieren
dc.relation.urihttp://www.sciencedirect.com/science/article/pii/S1036731405800190en
dc.titleMulticentre study of delirium in ICU patients using a simple screening tool.en
dc.typeJournal Articleen
dc.type.specifiedArticleen
dc.bibliographicCitation.titleAustralian Critical Careen
dc.bibliographicCitation.volume18en
dc.bibliographicCitation.issue1en
dc.bibliographicCitation.stpage6en
dc.bibliographicCitation.endpage16en
dc.publisher.placeAustraliaen
dc.subject.healththesaurusDELIRIUMen
dc.subject.healththesaurusICUen
dc.subject.healththesaurusINTENSIVE CAREen
dc.subject.healththesaurusCRITICAL CAREen
dc.subject.healththesaurusSCREENING TOOLSen
dc.subject.healththesaurusCASE REPORTen
dc.date.issuedbrowse2005-01-01en
Appears in Collections:Research Output

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