Características del delirium en los pacientes críticamente enfermos del Hospital Vicente Corral Moscoso, en el periodo octubre 2018 - enero 2019

Abstract

Background: delirium in critically ill patients is an alteration of the state of consciousness characterized by disorganization of thought and perception and causes a longer hospital stay, cognitive dysfunction and higher mortality. Objective: to establish the characteristics of delirium in critically ill patients at the “Hospital Vicente Corral Moscoso”. Methodology: a descriptive cross-sectional study was carried out on 101 patients admitted in the period October 2018 - January 2019 from the trauma and intensive care center of the “Hospital Vicente Corral Moscoso”. The information was obtained through medical records and was collected using an individual form created by the authors, and it was analyzed in the IBM SPSS version 22 program. Results: from a sample of 186 patients, 101 were eligible. 26.7% presented delirium, highlighting the hyperactive subtype (63%). Both mechanical ventilation and hospitalization longer than 72 hours occurred in 63% of the patients who presented delirium. In these patients, the SAPS III score greater than 50 points was also in 55.6%, and the sedation administered in 59.3% of them. Mortality in the ICU and mortality at 90 days after discharge from the ICU were similar in 11.1% of delusional patients. Conclusions: delirium was present in 26.7% of patients. The male sex, use of mechanical ventilation, longer hospitalization time, and use of sedatives were the most frequent variables in these patients.