Evaluating the risk of delirium in elderly inpatients in Covid-19 intensive care: a prospective and observational study

dc.authorid0000-0001-8164-5617
dc.authorid0000-0003-1785-3539
dc.authorid0000-0001-7819-2020
dc.contributor.authorBulut, Azime
dc.contributor.authorBahadır Yılmaz, Emel
dc.contributor.authorYüksel, Arzu
dc.date.accessioned2024-07-19T12:58:42Z
dc.date.available2024-07-19T12:58:42Z
dc.date.issued2024
dc.departmentSağlık Bilimleri Fakültesi
dc.description.abstractDelirium is dangerous, often preventable, and associated with a high financial burden and increased morbidity and mortality. This study aimed to evaluate the risk of delirium in elderly inpatients in COVID-19 intensive care units. Materials and Method: This study used a prospective and observational design. Between July and November 2022, 49 intensive care patients were admitted to a training and research hospital in northeast Turkey. The data were collected using the Patient Information Form, Critical-Care Pain Observation Tool, Ramsay Sedation Scale, and Nursing-Delirium Screening Scale. Results: The patients’ mean age was 76.90±8.29 years. The longer the length of stay in the intensive care unit, the incidence of delirium increased. The incidence of delirium increased in patients aged 70–95 years (p=0.007). Patients with delirium experienced insomnia and agitation and used more sedative drugs (p<0.05). The predictors of early delirium were sedation (?=0.869), agitation (?=-0.582), and diastolic blood pressure (?=0.258). The predictors of delirium were pain (?=-0.599) and sedation (?=0.267). Conclusion: The study demonstrated that older age, agitation, sedation, pain, and diastolic blood pressure predicted delirium in elderly COVID-19 inpatients. It is necessary to identify and eliminate risk factors to reduce the risk of delirium in elderly patients. Nurses should play an active role in identifying and managing delirium in elderly COVID-19 patients.
dc.identifier.doi10.29400/tjgeri.2024.380
dc.identifier.endpage78en_US
dc.identifier.issn1304-2947
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ4
dc.identifier.startpage68en_US
dc.identifier.urihttps:/dx.doi.org/10.29400/tjgeri.2024.380
dc.identifier.urihttps://hdl.handle.net/20.500.12451/12181
dc.identifier.volume27en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherTurkish Geriatrics Society
dc.relation.ispartofTurk Geriatri Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAged
dc.subjectCOVID-19
dc.subjectDelirium
dc.subjectIntensive Care
dc.titleEvaluating the risk of delirium in elderly inpatients in Covid-19 intensive care: a prospective and observational study
dc.typeArticle

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