Evidence map›Paper›PMID 40912711›Full record

Observational studyBMJ open2025

Incidence and predictors of delirium in patients admitted to intensive care unit at comprehensive specialised hospitals in Amhara region, northwest Ethiopia: a multicentre prospective observational study.

Temesgen Brilie Asmare, Habtie Bantider Wubet, Negesse Zurbachew Gobezie, Getachew Mekete Deress, Kumlachew Geta Belete, Molla Amsalu Tadesse, Abere Gebru Abuhay, Biruk Demissie, Amanu Addis Melesew, Walelign Asmie Afework and 6 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Temesgen Brilie AsmareDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia birlietemu@gmail.com.ORCID http://orcid.org/0009-0008-0462-8299
Habtie Bantider WubetDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Negesse Zurbachew GobezieDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Getachew Mekete DeressDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.ORCID http://orcid.org/0009-0006-1463-3222
Kumlachew Geta BeleteDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.ORCID http://orcid.org/0000-0001-5881-1285
Molla Amsalu TadesseDepartment of Anesthesia, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
Abere Gebru AbuhayDepartment of Pediatrics and Neonatal Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.ORCID http://orcid.org/0009-0001-8452-3436
Biruk DemissieDepartment of Environmental health, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia.ORCID http://orcid.org/0009-0007-0708-4891
Amanu Addis MelesewDepartment of Adult Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.ORCID http://orcid.org/0009-0002-0658-4628
Walelign Asmie AfeworkDepartment of Adult Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.ORCID http://orcid.org/0009-0007-8839-8963
Yewlsew Fentie AlleDepartment of Anesthesia, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.ORCID http://orcid.org/0000-0003-2672-5002
Daniel Getaneh DemiteDepartment of Anesthesia, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Diriba TeshomeDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Kaletsidk Dessalegn MossieDepartment of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Belayneh Dessie KassaDepartment of Emergency and Critical Care Medicine, Debre Tabor University, Debre Tabor, Ethiopia.
Gezahagn Demsu GedefawDepartment of Neonatal Health Nursing, School of Nursing, College of Medicine and Health Sciences, and Specialized Hospital, University of Gondar, Gondar, Ethiopia.ORCID http://orcid.org/0009-0003-3584-4545

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the incidence of delirium and its predictors among adult patients admitted to the intensive care units of comprehensive specialised hospitals in the Amhara region of northwest Ethiopia from 18 October 2024 to 20 February 2025.

designA multicentre prospective observational study was conducted.

settingFour comprehensive specialised hospitals in the Amhara region of northwest Ethiopia, from 18 October 2024 to 20 February 2025.

participantsA total of 351 patients were included in the final analysis during the study period. OUTCOME MEASURES: The primary outcome measure of this study was the incidence of delirium. Additionally, the study investigated the factors associated with delirium incidence among adult patients admitted to intensive care units.

resultsThe incidence of delirium among adult patients in intensive care units was 42.17% (95% CI: 37.08 to 47.42). Pain (adjusted HR (AHR) = 4.74; 95% CI: 2.38 to 9.44), mechanical ventilation (AHR = 2.96; 95% CI: 1.56 to 5.63), age 65 years or older (AHR = 2.18; 95% CI: 1.48 to 3.21) and agitation (Richmond Agitation-Sedation Scale (RASS) ≥1) (AHR = 3.26; 95% CI: 2.09 to 5.09) were statistically significant factors associated with delirium. CONCLUSION AND RECOMMENDATION: In the present study, more than one-third of patients developed delirium. Pain, mechanical ventilation, age 65 or older and agitation (RASS≥1) were significantly associated with delirium occurrence. To reduce the incidence of delirium, the current study recommends treating or preventing pain and agitation. Additionally, special attention should be given to patients receiving mechanical ventilation and those aged 65 or older during care.

Indexed as

DeliriumIntensive Care UnitsAdultAgedEthiopiaFemaleHumansIncidenceMaleMiddle AgedProspective StudiesRespiration, ArtificialRisk FactorsAdult intensive & critical careDeliriumEmergency DepartmentsEPIDEMIOLOGYEthiopia

Identifiers

PMID40912711
PMCPMC12414210

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.