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Original Article
- Nursing
- The effects of environmental interventions for delirium in critically ill surgical patients
- Hak-Jae Lee, Yoon-Joong Jung, Nak-Joon Choi, Suk-Kyung Hong
- Acute Crit Care. 2023;38(4):479-487. Published online November 28, 2023
- DOI: https://doi.org/10.4266/acc.2023.00990
- 91 View
- 16 Download
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Abstract
PDF - Background
Delirium occurs at high rates among patients in intensive care units and increases the risk of morbidity and mortality. The purpose of this study was to investigate the effects of environmental interventions on delirium.
Methods
This prospective cohort study enrolled 192 patients admitted to the surgical intensive care unit (SICU) during the pre-intervention (June 2013 to October 2013) and post-intervention (June 2014 to October 2014) periods. Environmental interventions involved a cognitive assessment, an orientation, and a comfortable environment including proper sleep conditions. The primary outcomes were the prevalence, duration, and onset of delirium.
Results
There were no statistically significant differences in incidence rate, time of delirium onset, general characteristics, and mortality between the pre-intervention and post-intervention groups. The durations of delirium were 14.4±19.1 and 7.7±7.3 days in the pre-intervention and post-intervention groups, respectively, a significant reduction (P=0.027). The lengths of SICU stay were 20.0±22.9 and 12.6±8.7 days for the pre-intervention and post-intervention groups, respectively, also a significant reduction (P=0.030).
Conclusions
The implementation of an environmental intervention program reduced the duration of delirium and length of stay in the SICU for critically ill surgical patients.
Corrigendum
- Pharmacology
- 2021 KSCCM clinical practice guidelines for pain, agitation, delirium, immobility, and sleep disturbance in the intensive care unit
- Yijun Seo, Hak-Jae Lee, Eun Jin Ha, Tae Sun Ha
- Acute Crit Care. 2023;38(1):149-149. Published online February 27, 2023
- DOI: https://doi.org/10.4266/acc.2022.00094.e1
- Corrects: Acute Crit Care 2022;37(1):1
- 856 View
- 133 Download
- 1 Citations
Guideline
- Pharmacology
- 2021 KSCCM clinical practice guidelines for pain, agitation, delirium, immobility, and sleep disturbance in the intensive care unit
- Yijun Seo, Hak-Jae Lee, Eun Jin Ha, Tae Sun Ha
- Acute Crit Care. 2022;37(1):1-25. Published online February 28, 2022
- DOI: https://doi.org/10.4266/acc.2022.00094
- Correction in: Acute Crit Care 2023;38(1):149
- 12,102 View
- 1,374 Download
- 13 Citations
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Abstract
PDF
- We revised and expanded the “2010 Guideline for the Use of Sedatives and Analgesics in the Adult Intensive Care Unit (ICU).” We revised the 2010 Guideline based mainly on the 2018 “Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption (PADIS) in Adult Patients in the ICU,” which was an updated 2013 pain, agitation, and delirium guideline with the inclusion of two additional topics (rehabilitation/mobility and sleep). Since it was not possible to hold face-to-face meetings of panels due to the coronavirus disease 2019 (COVID-19) pandemic, all discussions took place via virtual conference platforms and e-mail with the participation of all panelists. All authors drafted the recommendations, and all panelists discussed and revised the recommendations several times. The quality of evidence for each recommendation was classified as high (level A), moderate (level B), or low/very low (level C), and all panelists voted on the quality level of each recommendation. The participating panelists had no conflicts of interest on related topics. The development of this guideline was independent of any industry funding. The Pain, Agitation/Sedation, Delirium, Immobility (rehabilitation/mobilization), and Sleep Disturbance panels issued 42 recommendations (level A, 6; level B, 18; and level C, 18). The 2021 clinical practice guideline provides up-to-date information on how to prevent and manage pain, agitation/sedation, delirium, immobility, and sleep disturbance in adult ICU patients. We believe that these guidelines can provide an integrated method for clinicians to manage PADIS in adult ICU patients.
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Citations
Citations to this article as recorded by
- Potentially inappropriate medications with older people in intensive care and associated factors: a historic cohort study
Karina Sichieri, Danilo Donizetti Trevisan, Ricardo Luís Barbosa, Silvia Regina Secoli
Sao Paulo Medical Journal.2024;[Epub] CrossRef - Psychiatric Consults Associated With Longer Length of Stay in Trauma Patients—A Retrospective Study
Sanjay Balijepalli, Kathryn Mansuri, Cindy Gonzalez, Oveys Mansuri
Journal of Surgical Research.2024; 293: 46. CrossRef - End‐of‐life care in the intensive care unit
M. Tanaka Gutiez, N. Efstathiou, R. Innes, V. Metaxa
Anaesthesia.2023; 78(5): 636. CrossRef - The Profile of Early Sedation Depth and Clinical Outcomes of Mechanically Ventilated Patients in Korea
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Journal of Korean Medical Science.2023;[Epub] CrossRef - The relationship between the PRE-DELIRIC score and the prognosis in COVID-19 ICU patients
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Journal of Surgery and Medicine.2023; 7(5): 343. CrossRef - Systemic Nonsteroidal Anti-Inflammatories for Analgesia in Postoperative Critical Care Patients: A Systematic Review and Meta-Analysis of Randomized Control Trials
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Critical Care Explorations.2023; 5(7): e0938. CrossRef - Pain Control and Sedation in Neuro Intensive Critical Unit
Soo-Hyun Park, Yerim Kim, Yeojin Kim, Jong Seok Bae, Ju-Hun Lee, Wookyung Kim, Hong-Ki Song
Journal of the Korean Neurological Association.2023; 41(3): 169. CrossRef - Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit
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Journal of Health Informatics and Statistics.2023; 48(3): 267. CrossRef - Diagnostic Value of the Bispectral Index to Assess Sleep Quality after Elective Surgery in Intensive Care Unit
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Anesteziologiya i reanimatologiya.2023; (5): 6. CrossRef - Sedation for Patients with Sepsis: Towards a Personalised Approach
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Journal of Personalized Medicine.2023; 13(12): 1641. CrossRef - ICU-Induced Disability Persists With or Without COVID-19—This Is a Call for F to A Bundle Action*
Heidi Engel
Critical Care Medicine.2022; 50(11): 1665. CrossRef - Actigraphy-Based Assessment of Sleep Parameters in Intensive Care Unit Patients Receiving Respiratory Support Therapy
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Journal of Korean Critical Care Nursing.2022; 15(3): 115. CrossRef
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