Evidence map›Paper›PMID 34473734›Full record

Observational studyPloS one2021

Risk factors associated with the development of delirium in general ICU patients. A prospective observational study.

Beatriz Lobo-Valbuena, Federico Gordo, Ana Abella, Sofía Garcia-Manzanedo, Maria-Mercedes Garcia-Arias, Inés Torrejón, David Varillas-Delgado, Rosario Molina

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Observational
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Observational
  13. Modern Sedation and Analgesia Strategies in Neurocritical Care.Current neurology and neuroscience reports · 2023
    Review
  14. Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Beatriz Lobo-ValbuenaIntensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.ORCID 0000-0002-6534-8396
Federico GordoIntensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.
Ana AbellaIntensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.
Sofía Garcia-ManzanedoIntensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.ORCID 0000-0002-8633-8058
Maria-Mercedes Garcia-AriasIntensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.
Inés TorrejónIntensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.
David Varillas-DelgadoFacultad de Medicina, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, España.
Rosario MolinaIntensive Care Unit, Hospital Universitario del Henares, Coslada, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to analyze risk factors related to the development of delirium, aiming for early intervention in patients with greater risk. MATERIAL AND

methodsObservational study, including prospectively collected patients treated in a single general ICU. These were classified into two groups, according to whether they developed delirium or not (screening performed using CAM-ICU tool). Demographics and clinical data were analyzed. Multivariate logistic regression analyses were performed to quantify existing associations.

results1462 patients were included. 93 developed delirium (incidence: 6.3%). These were older, scored higher on the Clinical Frailty Scale, on the risk scores on admission (SAPS-3 and SOFA), and had a greater number of organ failures (OF). We observed more incidence of delirium in patients who (a) presented more than two OF (20.4%; OR 4.9; CI95%: 2.9-8.2), and (b) were more than 74 years old albeit having <2 OF (8.6%; OR 2.1; CI95%: 1.3-3.5). Patients who developed delirium had longer ICU and hospital length-of-stays and a higher rate of readmission.

conclusionsThe highest risk observed for developing delirium clustered in patients who presented more than 2 OF and patients over 74 years old. The detection of patients at high risk for developing delirium could imply a change in management and improved quality of care.

Indexed as

AgedAged, 80 and overDeliriumFemaleFrailtyHumansIntensive Care UnitsMaleMiddle AgedMultiple Organ FailureProspective StudiesQuality ImprovementRisk Factors

Identifiers

PMID34473734
PMCPMC8412262

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.