Analysis of risk factors of delirium in patients with mechanical ventilation in intensive care unit
10.3761/j.issn.0254-1769.2018.05.006
- VernacularTitle:机械通气患者发生谵妄的影响因素分析
- Author:
Qiong WU
1
;
Zhixia JIANG
;
Yanbin PAN
;
Kaihan YANG
;
Jingjing ZHANG
;
Mingtao QUAN
Author Information
1. 563003,遵义市 遵义医学院附属医院护理部
- Keywords:
Intensive Care Units;
Ventilators,Mechanical;
Delirium;
Logistic Regression Model;
ROC Curve
- From:
Chinese Journal of Nursing
2018;53(5):543-548
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors and predict the risk of delirium in patients with mechanical ventilation in intensive care unit(ICU).Methods Data were collected from ICU patients hospitalized from June 2016 to June 2017.Logistic regression model was used to analyze the risk factors of delirium in ICU patients with mechanical ventilation,and the ROC curve was used to calculate the area and optimal cut-off value of the curve.Results This study included 398 patients with 163 cases of delirium,and the incidence of delirium was 41.0％.Logistic regression model showed that using physical restraint (OR=3.084),receiving sedation (OR=2.255),duration of mechanical ventilation(OR=1.146) and ICU length of stay(OR=1.111) were independent predictors of delirium.ROC curve showed that the area under the curve was 0.580,0.566,0.787,and 0.774,respectively,and the cut-off value for mechanical ventilation duration and ICU length was 7 days and 8 days,respectively.Conclusion The incidence of delirium in ICU patients with mechanical ventilation is still high.Physical restraint,sedation,mechanical ventilation time of duration more than 7 days and ICU length of stay greater than 8 days can cause ICU delirium.
