The Incidence of Delirium with its related factors, in our Postsurgical Critical Care Unit. Montecelo Hospital. Pontevedra. Spain

Abstract

Background and Goal of Study: 1-To study the incidence of Delirium in the Postsurgical Critical Care Unit (Reanimation) in the Pontevedra Universitary Hospital. 2-Relate the incidence of Delirium with the specific idiosyncrasia of the Critical Surgical Patients. 3-To estimate the need to implement a specific and protocolized tool for the detection of Delirium in the Unit of Critical Surgical patients. Materials and Methods: Retrospective descriptive observational study. All patients admitted to the unit during the year 2016 were reviewed. For the statistical analysis, the statistical package IBM SPSS Statistics v19 was used. We performed a univariate and descriptive analysis of the variables as follows: qualitative and quantitative variables were measured as number and percentage (n,%), while continuous variables were measured as mean ± standard deviation provided they followed normal distribution And as Median and Rank when they did not follow normal distribution. The normality of the variables was measured by the Kolmogorov-Smirnoff test. Bivariate analyses were performed with the T-Student test when the variables followed normal distribution and by the Wilcoxon test when they did not follow this distribution. Results and Discussion: The incidence of delirium in our unit was 33% in 2016. The mean number of days of stay in patients who did not present delirium in the unit was 7 days, while those who did presented an average of 14 days. An association with an OR> 3 was demonstrated between patients with BMI> 24.9 and the likelihood of delirium. In our unit the presence of delirium was not associated with a greater probability of exitus, but it was demonstrated that the patients who presented delirium died more precociously. We objectify that the professional who detects delirium the most is the nursing staff, given their role in the care and the continuous presence in the unit of critics. Conclusion: The incidence of delirium in our unit was 33% in 2016. The mean number of days of stay in patients who did not present delirium in the unit was 7 days, while those who did presented an average of 14 days.

Comunicación presentada en Euroanaesthesia 2018: The European Anaesthesiology Congress, celebrado en Copenague (Dinamarca) del 2 al 4 de junio de 2018.