阿曼ICU患者谵妄风险预测模型的建立。

IF 1.6 Q2 ANESTHESIOLOGY
Anesthesiology Research and Practice Pub Date : 2022-07-31 eCollection Date: 2022-01-01 DOI:10.1155/2022/1449277
Rasha Khamis Al-Hoodar, Eilean Rathinasamy Lazarus, Omar Alomari, Omar Alzaabi
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引用次数: 0

摘要

背景:谵妄是重症监护病房患者的常见疾病。识别谵妄的预测因素对提高患者的生活质量非常重要。方法:本研究采用前瞻性观察设计,建立阿曼ICU患者谵妄的预测模型。来自两家主要医院的153名成人ICU患者参与了本研究。重症监护谵妄筛查检查表(ICDSC)用于评估参与者谵妄,每天两次。结果:谵妄发生率为26.1%。多元logistic回归分析显示,脓毒症(odds ratio (OR) = 9.77;95%置信区间(CI) = 1.91 ~ 49.92;P < 0.006),代谢性酸中毒(优势比(OR) = 3.45;95%置信区间[CI] = 1.18-10.09;P=0.024),鼻胃管使用(优势比(OR) 9.74;95%置信区间(CI) = 3.48 ~ 27.30;P≤0.001),APACHEII评分(OR = 1.22;95% ci = 1.09-1.37;P≤0.001)是阿曼ICU患者谵妄的预测因子(r2 =0.519,校正r2 =0.519, P≤0.001)。结论:阿曼医院要预防谵妄,有必要纠正这些预测因素,并确定影响谵妄发展的其他因素。预测模型的设计有助于谵妄的早期发现和预防措施的实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Development of a Delirium Risk Predication Model among ICU Patients in Oman.

Development of a Delirium Risk Predication Model among ICU Patients in Oman.

Background: Delirium is a common disorder among patients admitted to intensive care units. Identification of the predicators of delirium is very important to improve the patient's quality of life.

Methods: This study was conducted in a prospective observational design to build a predictive model for delirium among ICU patients in Oman. A sample of 153 adult ICU patients from two main hospitals participated in the study. The Intensive Care Delirium Screening Checklist (ICDSC) was used to assess the participants for delirium twice daily.

Result: The results showed that the incidence of delirium was 26.1%. Multiple logistic regression analysis showed that sepsis (odds ratio (OR) = 9.77; 95% confidence interval (CI) = 1.91-49.92; P < 0.006), metabolic acidosis (odds ratio (OR) = 3.45; 95% confidence interval [CI] = 1.18-10.09; P=0.024), nasogastric tube use (odds ratio (OR) 9.74; 95% confidence interval (CI) = 3.48-27.30; P ≤ 0.001), and APACHEII score (OR = 1.22; 95% CI = 1.09-1.37; P ≤ 0.001) were predictors of delirium among ICU patients in Oman (R 2=0.519, adjusted R 2=0.519, P ≤ 0.001).

Conclusion: To prevent delirium in Omani hospitals, it is necessary to work on correcting those predictors and identifying other factors that had effects on delirium development. Designing of a prediction model may help on early delirium detection and implementation of preventative measures.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
29
审稿时长
18 weeks
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