Incidence and influencing factors of subsyndromal delirium in ICU patients after surgery for craniocerebral tumor
10.3760/cma.j.issn.1674-2907.2019.30.003
- VernacularTitle:颅脑肿瘤术后ICU患者亚谵妄发生情况及影响因素研究
- Author:
Jinglian LI
1
;
Yadi FENG
;
Fei YAO
;
Yanzhu FAN
Author Information
1. 首都医科大学附属北京天坛医院神经外科 100070
- Keywords:
Postoperative complication;
Craniocerebral neoplasms;
Subsyndromal delirium;
Intensive Care Unit;
Incidence rate;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2019;25(30):3854-3858
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the incidence of subsyndromal delirium (SSD) in ICU patients after surgery for craniocerebral tumor and its influencing factors. Methods? Totally 100 patients admitted in the General Intensive Care Unit of a ClassⅢ Grade A hospital in Beijing between January and December 2018 were selected. Confusion Assessment Model for Intensive Unit (CAM-ICU) was used to assess the incidence of SSD in these patients on a daily basis. Their clinical data, including general information, vision and listening, Mini-Mental State Examination (MMSE) scores, Acute Physiology and Chronic Health Evaluation Scoring System (APACHEⅡ) scores, mechanical ventilation, restraints, oxygenation index, albumin, hemoglobin, Na+, Cl-, K+ and Ca2+ values until they were transferred out of ICU. Univariate analysis was employed to screen the possible risk factors, and unconditional Logistic stepwise regression analysis was used to identify the independent risk factors of SSD in ICU patients. Results? The incidence rate of SSD in the 100 ICU patients after surgery for craniocerebral tumor was 40%(40/100), and 55.0%(22/40) of the patients sustained SSD since day 1-3 after admission into ICU. The average frequency of incidence was 2.08 times, and it lasted (30.80±10.11) h. Logistic regression analysis revealed that infection, pain, APACHE II scores were the independent predictive factors for SSD in ICU patients after surgery for craniocerebral tumor (P＜0.05). Conclusions? The incidence rate of SSD in ICU patients after surgery for craniocerebral tumor is high, and infection, pain and high APACHE Ⅱ scores are likely to lead to SSD.
