Access
Login/Register
Supplier Login
By Valerie DeBenedette, Contributing Writer
A new meta-analysis has found that delirium, a condition developed by many patients in hospital intensive care units (ICU), is associated with higher mortality rates, more complications, longer stays in the ICU, and longer hospitalisations.
Patients with ICU related delirium typically suffer from disturbances in consciousness, disorganized thinking or may become delusional. Delirium in the ICU may be caused by underlying medical conditions, and can be triggered by stress, lack of sleep, unfamiliar surroundings, lights and sounds in the unit, or develop as a side effect of medications.
The meta-analysis*, which appears in General Hospital Psychiatry, found that ICU patients with delirium were three times more likely to die than patients without delirium and six times more likely to have one or more complications. They were also kept in the ICU for more than seven days longer and were hospitalized more than six days longer than non-delirious patients.
"This is important since it further confirms that delirium is a disease entity that has significant impact on clinical outcome," said lead author Zhongheng Zhang, MM, an intensive care specialist at
Methods of dealing with ICU delirium include adjusting medications and taking steps to keep the patient oriented in reality, which can include having a family member present. "The presence of family members with the patient has never been formally investigated," Zhang said. "But in our experience, for some hyperactive delirium patients, we allow their family members to be with them, and this seems effective in reducing the use of sedatives and [improving] control of delirious symptoms."
ICU delirium is an acute brain failure rather than a mental illness and is reversible in most cases, said Alexandru Serghi, M.D., assistant professor in the department of psychiatry at the