Incidence, Associated Factors, and Outcome of Delirium among Patients Admitted to ICUs in Oman

Background. The incidence of delirium is high up to 46.3% among patients admitted to ICU. Delirium is linked to negative patient outcomes like increased duration of mechanical ventilation use, prolonged ICU stay, increased mortality rate, and healthcare costs. Despite the importance of delirium and...

Full description

Saved in:
Bibliographic Details
Main Authors: Rasha Khamis Al-Hoodar, Eilean Rathinasamy Lazarus, Omar Al Omari, Omar Al Zaabi
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Critical Care Research and Practice
Online Access:http://dx.doi.org/10.1155/2022/4692483
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832563108194811904
author Rasha Khamis Al-Hoodar
Eilean Rathinasamy Lazarus
Omar Al Omari
Omar Al Zaabi
author_facet Rasha Khamis Al-Hoodar
Eilean Rathinasamy Lazarus
Omar Al Omari
Omar Al Zaabi
author_sort Rasha Khamis Al-Hoodar
collection DOAJ
description Background. The incidence of delirium is high up to 46.3% among patients admitted to ICU. Delirium is linked to negative patient outcomes like increased duration of mechanical ventilation use, prolonged ICU stay, increased mortality rate, and healthcare costs. Despite the importance of delirium and its consequences that are significant, there is a scarcity of studies which explored delirium in Oman. Objectives. This study was conducted to assess the incidence of delirium, the association between the selected predisposing factors and precipitating factors with delirium, determine the predicators of delirium, and evaluate its impacts on ICU mortality and ICU length of stay among ICU patients in Oman. Methods. A multicenter prospective observational design was used. A total of 153 patients were assessed two-times a day by bedside ICU nurses through the Intensive Care Delirium Screening Checklist (ICDSC). Results. The results revealed that the delirium incidence was 26.1%. Regression analysis showed that sepsis, metabolic acidosis, nasogastric tube use, and APACHE II score were independent predictors for delirium among ICU patients in Oman and delirium had significant impacts on ICU length of stay and mortality rate. Conclusion. Delirium is common among ICU patients and it is associated with negative consequences. Multidisciplinary prevention strategies should be implemented to identify and treat the modifiable risk factors.
format Article
id doaj-art-9cf749a8bcc04850a5a082b24d983d0d
institution Kabale University
issn 2090-1313
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Critical Care Research and Practice
spelling doaj-art-9cf749a8bcc04850a5a082b24d983d0d2025-02-03T01:21:04ZengWileyCritical Care Research and Practice2090-13132022-01-01202210.1155/2022/4692483Incidence, Associated Factors, and Outcome of Delirium among Patients Admitted to ICUs in OmanRasha Khamis Al-Hoodar0Eilean Rathinasamy Lazarus1Omar Al Omari2Omar Al Zaabi3College of NursingCollege of NursingCollege of NursingCollege of NursingBackground. The incidence of delirium is high up to 46.3% among patients admitted to ICU. Delirium is linked to negative patient outcomes like increased duration of mechanical ventilation use, prolonged ICU stay, increased mortality rate, and healthcare costs. Despite the importance of delirium and its consequences that are significant, there is a scarcity of studies which explored delirium in Oman. Objectives. This study was conducted to assess the incidence of delirium, the association between the selected predisposing factors and precipitating factors with delirium, determine the predicators of delirium, and evaluate its impacts on ICU mortality and ICU length of stay among ICU patients in Oman. Methods. A multicenter prospective observational design was used. A total of 153 patients were assessed two-times a day by bedside ICU nurses through the Intensive Care Delirium Screening Checklist (ICDSC). Results. The results revealed that the delirium incidence was 26.1%. Regression analysis showed that sepsis, metabolic acidosis, nasogastric tube use, and APACHE II score were independent predictors for delirium among ICU patients in Oman and delirium had significant impacts on ICU length of stay and mortality rate. Conclusion. Delirium is common among ICU patients and it is associated with negative consequences. Multidisciplinary prevention strategies should be implemented to identify and treat the modifiable risk factors.http://dx.doi.org/10.1155/2022/4692483
spellingShingle Rasha Khamis Al-Hoodar
Eilean Rathinasamy Lazarus
Omar Al Omari
Omar Al Zaabi
Incidence, Associated Factors, and Outcome of Delirium among Patients Admitted to ICUs in Oman
Critical Care Research and Practice
title Incidence, Associated Factors, and Outcome of Delirium among Patients Admitted to ICUs in Oman
title_full Incidence, Associated Factors, and Outcome of Delirium among Patients Admitted to ICUs in Oman
title_fullStr Incidence, Associated Factors, and Outcome of Delirium among Patients Admitted to ICUs in Oman
title_full_unstemmed Incidence, Associated Factors, and Outcome of Delirium among Patients Admitted to ICUs in Oman
title_short Incidence, Associated Factors, and Outcome of Delirium among Patients Admitted to ICUs in Oman
title_sort incidence associated factors and outcome of delirium among patients admitted to icus in oman
url http://dx.doi.org/10.1155/2022/4692483
work_keys_str_mv AT rashakhamisalhoodar incidenceassociatedfactorsandoutcomeofdeliriumamongpatientsadmittedtoicusinoman
AT eileanrathinasamylazarus incidenceassociatedfactorsandoutcomeofdeliriumamongpatientsadmittedtoicusinoman
AT omaralomari incidenceassociatedfactorsandoutcomeofdeliriumamongpatientsadmittedtoicusinoman
AT omaralzaabi incidenceassociatedfactorsandoutcomeofdeliriumamongpatientsadmittedtoicusinoman