| Abstract |
Objective To study the Risk factors for concurrent delirium in patients in emergency intensive care unit (EICU). Methods A total of 144 cases of emergency intensive care patients admitted to our hospital from December 2013 to December 2018 were selected as the study subjects. According to whether or not occur delirium during EICU treatment period, it was divided into the delirium group and non- delirium group, including 56 cases of delirium group and 88 cases of non- delirium group. The relevant medical records such as age, disease type, and medical history were collected. Univariate and logistic regression analysis were used to investigate independent risk factors for delirium in patients with EICU. Results Fifty-six cases of 144 EICU patients with delirium occurred, the incidence rate was 38.89%. There were significant differences in age, mechanical ventilation, use midazolam, disease type, admission acute physiology and chronic health score (APACHE-II) score, hypoxemia, and combined hypertension between the delirium group and the non- delirium group (P<0.05). There was no significant difference between the two groups in gender, combined diabetes, renal replacement therapy and surgical treatment (P>0.05). Logistic regression analysis showed that APACHE-II score was >21 (OR=3.001), mechanical ventilation (OR=2.889), use midazolam (OR=2.311), cerebrovascular disease (OR=2.771), severe trauma (OR) =3.165) were independent risk factors for EICU patients with delirium. Conclusion The incidence of delirium in patients with EICU is high, and it is affected by many factors such as severity of hospital admission condition, mechanical ventilation, use of midazolam, and disease type.
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