Objective: ICU delirium is common and adverse. The Intensive Care Delirium Screening Checklist (ICDSC) score ranges from 0 to 8, with a score of 4 or higher indicating clinical delirium. We investigated whether lower (subsyndromal) values affect outcome. Patients: 600 patients were evaluated with the ICDSC every 8 h. Measurements and results: Of 558 assessed patients 537 noncomatose patients were divided into three groups: no delirium (score = 0; n = 169, 31.5%), subsyndromal delirium (score = 1-3; n = 179, 33.3%), and clinical delirium (score ≥ 4; n = 189, 35.2%). ICU mortality rates were 2.4%, 10.6%, and 15.9% in these three groups, respectively. Post-ICU mortality was significantly greater in the clinical delirium vs. no delirium groups (hazard ratio = 1.67) after adjusting for age, APACHE II score, and medication-induced coma. Relative ICU length of stay was: no delirium < subsyndromal delirium < clinical delirium and hospital LOS: no delirium
CITATION STYLE
Ouimet, S., Riker, R., Bergeon, N., Cossette, M., Kavanagh, B., & Skrobik, Y. (2007). The impact of delirium in the intensive care unit on hospital length of stay. Intensive Care Medicine, 33(6), 1007–1013.
Mendeley helps you to discover research relevant for your work.