Investigation of The Frequency of Delirium in Different  Departments in the Yazd Shohadaye Kargar Hospital

Hosseini , F; Shajari , A; Hosseini , BS

Volume 24, Issue 8 (Nov 2016) JSSU 2016, 24(8): 640-648 | Back to browse issues page

Mendeley

Zotero

RefWorks

Hosseini F, Shajari A, Hosseini B. Investigation of The Frequency of Delirium in Different Departments in the Yazd Shohadaye Kargar Hospital. JSSU 2016; 24 (8) :640-648
URL: http://jssu.ssu.ac.ir/article-1-3831-en.html

Investigation of The Frequency of Delirium in Different Departments in the Yazd Shohadaye Kargar Hospital

F Hosseini

, A Shajari

, BS Hosseini ^*

Abstract: (5406 Views)

Introduction: Delirium is an acute and transient disturbance in brain function. Delirium was very seen in hospitalized patients, especially after surgery. But a high percentage of cases were not diagnosed and treated so, these patients involve next consequence. According to this issue, the aim of this study was to assess the prevalence of delirium in the different departments of Yazd Shohadaye Kargar hospital (orthopedics, surgery, internal medicine, and ICU).

Methods: This cross-sectional study was done on 256 hospitalized patients in departments of surgery, orthopedics, internal medicine, and ICU of Shohadaye Kargar hospital, Yazd, Iran in 2015. Data was collected by ICU-CAM questionnaire. Acquired data were analyzed using descriptive statistics, chi-square, and Fisher exact test.

Results: There was 15 (26.8), 4 (8%), 5 (10%), 14 (28%), and zero (0%) patients with delirium in the internal medicine, surgery, orthopedics, ICU and women department, respectively. Delirium was seen in 2 cases (11.1%) underwent major surgery and 8 cases (7.1%) underwent minor surgery. The frequency of delirium was more in the patients with underlying and psychological disease. The prevalence of delirium had no significantly correlation with age. The most prevalence of delirium was observed in the age range 65-94 years. The Patients with the underlying disease such as diabetes, HTN, heart diseases, and mental illnesses, were more vulnerable. The highest incidence of delirium was seen in the second and third days of hospitalization.

Conclusion: Based on the observed incidence of delirium, personnel training seems necessary for prevention, diagnosis and treatment of this disease.

Keywords: Delirium, Different wards of Hospital, Underlying Disease, ICU-CAM questionnaire

Full-Text [PDF 479 kb] (1689 Downloads)

Type of Study: Original article | Subject: Psychiatry
Received: 2016/07/30 | Accepted: 2016/09/24 | Published: 2016/12/11

References

1. Sadock BJ, Sadock VA. Kaplan & Sadock's synopsis of psychiatry : behavioral sciences/clinical psychiatry. Philadelphia, Pa, Lippincott Williams & Wilkins; 2003.

2. Bush SH, Bruera E. The assessment and management of delirium in cancer patients. Oncologist. 2009; 14(10): 1039-49.

3. Girard TD, Jackson JC, Pandharipande PP, Pun BT, Thompson JL, Shintani AK, et al. Delirium as a Predictor of Long-Term Cognitive Impairment in Survivors of Critical Illness. Critical care medicine 2010; 38(7): 1513-20.

4. Cerejeira J, Mukaetova-Ladinska EB. A Clinical Update on Delirium: From Early Recognition to Effective Management. Nursing Research and Practice 2011.

5. Page VJ, Navarange S, Gama S, McAuley DF. Routine delirium monitoring in a UK critical care unit. Crit Care 2009; 13(1): 1.

6. Bilotta F, Doronzio A, Stazi E, Titi L, Zeppa IO, Cianchi A, et al. Early postoperative cognitive dysfunction and postoperative delirium after anaesthesia with various hypnotics: study protocol for a randomised controlled trial--the PINOCCHIO trial. Trials 2011; 12(1): 1745-6215.

7. Liu YH, Wang DX, Li LH, Wu XM, Shan GJ, Su Y, et al. The effects of cardiopulmonary bypass on the number of cerebral microemboli and the incidence of cognitive dysfunction after coronary artery bypass graft surgery. Anesth Analg 2009; 109(4): 1013-22.

8. Ely EW, Shintani A, Truman B, Speroff T, Gordon SM, Harrell FE, Jr, et al. Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 2004; 291(14): 1753-62.

9. Luukkanen MJ, Uusvaara J, Laurila JV, Strandberg TE, Raivio MM, Tilvis RS, et al. Anticholinergic Drugs and Their Effects on Delirium and Mortality in the Elderly. Dementia and Geriatric Cognitive Disorders EXTRA 2011; 1(1): 43-50.

10. Rajabpour Nikfam M, Ghanbari Khanghah A, Khaleghdoost Mohammadi T, Kazemnezhad Leili E, Ashraf A. Study of Predictors of Delirium Incidence in Hospitalized Patients In Intensive Care Units. Holistic Nursing and Midwifery [Research] 2016; 26(3): 25-35.

11. Heidari A, Heidari A, Dianati M, Mousavi SGA. Prevalence of delirium, its related factors and short-term outcomes in ICU wards of Kashan Shahid-Beheshti and Isfahan Kashani hospitals during 2012-2013. KAUMS Journal (FEYZ) [Research] 2014; 18(1): 76-84.

12. Winter A, Steurer MP, Dullenkopf A. Postoperative delirium assessed by post anesthesia care unit staff utilizing the Nursing Delirium Screening Scale: a prospective observational study of 1000 patients in a single Swiss institution. BMC Anesthesiology 2015; 15(1): 1.

13. Norkiene I, Samalavicius R, Misiuriene I, Paulauskiene K, Budrys V, Ivaskevicius J. Incidence and risk factors for early postoperative cognitive decline after coronary artery bypass grafting. Medicina 2010; 46(7): 460-64.

14. Holroyd-Leduc JM, Khandwala F, Sink KM. How can delirium best be prevented and managed in older patients in hospital? CMAJ: Canadian Medical Association J 2010; 182(5): 465-70.

15. Bettelli G. Preoperative evaluation in geriatric surgery: comorbidity, functional status and pharmacological history. Minerva Anestesiol 2011; 77(6): 637-46.

16. Kazmierski J, Kowman M, Banach M, Fendler W, Okonski P, Banys A, et al. Incidence and predictors of delirium after cardiac surgery: Results from The IPDACS Study. J Psychosom Res 2010; 69(2): 179-85.

17. Kyziridis TC. Post-operative delirium after hip fracture treatment - a review of the current literature. GMS Psycho-Social Med 2006; 3.

18. Ancelin ML, De Roquefeuil G, Scali J, Bonnel F, Adam JF, Cheminal JC, et al. Long-term post-operative cognitive decline in the elderly: the effects of anesthesia type, apolipoprotein E genotype, and clinical antecedents. J Alzheimer's Dis 2010; 22(3): 105-13.

19. Sockalingam S, Parekh N, Bogoch, II, Sun J, Mahtani R, Beach C, et al. Delirium in the postoperative cardiac patient: a review. J Card Surg 2005; 20(6): 560-67.

20. Zolfaghari M, Arbabi M, Pedram Razi S, Biat K, Bavi A. Effectiveness of a Multifactor Educational Intervention on Delirium Incidence and Length of Stay in Patients with Cardiac Surgery. Hayat [Research] 2012; 18(1): 67-78.

21. Crosby G, Culley DJ, Hyman BT. Preoperative Cognitive Assessment of the Elderly Surgical Patient: A Call For Action. Anesthesiology 2011; 114(6): 1265-68.

22. Gani H, Domi R, Kodra N, Prifti P, Naco M, Beqiri V, et al. The incidence of postoperative delirium in elderly patients after urologic surgery. Med Arch 2013; 67(1): 45-7.

23. McGuire JM, Burkard JF. Risk factors for emergence delirium in U.S. military members. J Perianesth Nurs 2010; 25(6): 392-401.

24. Xue P, Wu Z, Wang K, Tu C, Wang X. Incidence and risk factors of postoperative delirium in elderly patients undergoing transurethral resection of prostate: a prospective cohort study. Neuropsychiatric Disease and Treatment 2016; 12: 137-42.