Observational studyJournal of religion and health2021
Impact of Religiosity on Delirium Severity Among Critically Ill Shi'a Muslims: A Prospective Multi-Center Observational Study.
Observational study in Journal of religion and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Surrogate resilience and clinical titration of presence in the open intensive care unit: a systematic narrative synthesis.International journal of nursing studies advances · 2026Review
- The use of islamic spiritual care practices among critically ill adult patients: A systematic review.Heliyon · 2023Article
- Risk factors, time to onset and recurrence of delirium in a mixed medical-surgical ICU population: A secondary analysis using Cox and CHAID decision tree modeling.EXCLI journal · 2022Article
- Incidence and Risk Factors of Delirium in the Intensive Care Unit: A Prospective Cohort.BioMed research international · 2021Article
- Natural versus artificial light exposure on delirium incidence in ARDS patients.Annals of intensive care · 2020Article
- Article
- Impact of spirituality on patient memories of intensive care unit stays: A nationwide cross-sectional study.International journal of critical illness and injury scienceArticle
- Point prevalence of delirium among critically ill patients in Saudi Arabia: A multicenter observational study.International journal of critical illness and injury scienceArticle
Corrections and comments
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Authors and funding
18 authors.
Funding
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Abstract
This study assesses the impact of religiosity on delirium severity and patient outcomes among Shi'a Muslim intensive care unit (ICU) patients. We conducted a prospective observational cohort study in 21 ICUs from 6 Iranian academic medical centers. Delirium was assessed using the Confusion Assessment Method for the ICU (CAM-ICU) tool. Eligible patients were intubated, receiving mechanical ventilation (MV) for ≥ 48 h. Illness severity was assessed using Acute Physiology and Chronic Health Evaluation II (APACHE II) scores. A total of 4200 patients were enrolled. Patient religiosity was categorized as more (40.6%), moderate (42.3%), or less (17.1%) based on responses to patient and surrogate questionnaires. The findings suggest that lower pre-illness religiosity may be associated with greater delirium severity, MV duration, and ICU and hospital LOS. The lower mortality in the less religiosity group may be related in part to a greater proportion of female patients, but it remains unclear whether and to what extent greater religiosity impacted treatment decisions by patients and families. Further investigation is needed to validate and clarify the mechanism of the mortality findings.
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