A Descriptive Cross-Sectional Study on Clinical Profile and Outcome of Delirium in Trauma Patients in the Semi-Closed Intensive Care Unit of a Medical College

Authors

  • Alok Kumar Singh National Medical College
  • Niraj Kumar Keyal National Medical College https://orcid.org/0000-0001-8587-1718
  • Pankaj Chaudhary National Medical College
  • Mosarrat Izahar National Medical College
  • Md Shahid Alam National Medical College

DOI:

https://doi.org/10.3126/bjhs.v7i3.52761

Keywords:

Delirium, intensive care units, outcome, risk factors, trauma

Abstract

Introduction: Delirium in trauma patients is common and underdiagnosed.

Objectives: This study aimed to identify the risk factors and outcome of delirium in trauma patients in a mixed semi-closed intensive care unit.

Methodology: This  descriptive cross-sectional study was done on 77 patients of age 18 years or more admitted for more than 24 hours with the history of road traffic accidents, falls, drowning, physical assaults, and self- inflicted violence  in a level three intensive care unit of the National Medical College for six months. The whole sampling method was used in our study and all cases during a given time were included in the study. The Confusion Assessment Method-ICU and Richmond Agitation Sedation Scale were used to diagnose delirium and level of arousal respectively. All data was transferred to the excel sheet and transferred to a statistical package for the social sciences-16. The Chi-square test and Fisher’s exact probability test were used to detect the difference between groups in the univariate analysis, as appropriate. The variables were analyzed using binary logistic regression. Any variables which had P<0.2 after the univariable risk regression and all other potential variables associated with the delirium were included for the multivariable risk regression. The level of significance was P<0.05.

Result: Of the 77 ICU admissions 17(22.1%) developed delirium. Hyperactive delirium was the most common motor subtype 9(52.9%). The mean duration of delirium was 3.69±4.06 days. Age,  hypertension, blood transfusion, and orthopedic trauma were identified as risk factors for delirium. Delirious patients had a longer length of stay in the ICU (7.0 ±4.6 vs 4.5±4.1 days) with no impact on the duration of mechanical ventilation, mortality, reintubation, and unplanned extubation.

Conclusion: Age, hypertension, blood transfusion and orthopaedic trauma were identified as the risk factor for delirium in trauma patients that should be identified early to prevent complications such as longer length of stay in the ICU, longer duration of mechanical ventilation, mortality, reintubation and unplanned extubation.

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Author Biographies

Alok Kumar Singh, National Medical College

Lecturer, Department of Internal Medicine

Niraj Kumar Keyal, National Medical College

Lecturer, Department of  General Practice &  Emergency Medicine

Pankaj Chaudhary, National Medical College

Lecturer, Department of Internal Medicine

Mosarrat Izahar, National Medical College

Lecturer, Department of Internal Medicine

Md Shahid Alam, National Medical College

Associate Professor, Department of General Surgery

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Published

2022-12-31

How to Cite

Singh, A. K., Keyal, N. K., Chaudhary, P., Izahar, M., & Alam, M. S. (2022). A Descriptive Cross-Sectional Study on Clinical Profile and Outcome of Delirium in Trauma Patients in the Semi-Closed Intensive Care Unit of a Medical College. Birat Journal of Health Sciences, 7(3), 1882–1886. https://doi.org/10.3126/bjhs.v7i3.52761

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Section

Original Research Articles