神经重症监护病房中的谵妄
Delirium in the Neuro Intensive Care Unit.
作者信息
Haymore Joseph B, Patel Nikhil
机构信息
Neurocritical Care Unit, University of Maryland Medical Center, 22 South Greene Street, Baltimore, MD, USA; University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201, USA.
Department of Neurology, University of Maryland School of Medicine, 620 West Lexington Street, Baltimore, MD 21201, USA.
出版信息
Crit Care Nurs Clin North Am. 2016 Mar;28(1):21-35. doi: 10.1016/j.cnc.2015.11.001.
This article reviews current literature regarding the neuro intensive care unit (ICU) and the ICU setting in general regarding delirium, pain, agitation, and evidence-based guidelines and assessment tools. Delirium in the ICU affects as many as 50% to 80% of patients. Delirium is associated with increased burden of illness, higher mortality, and increased suffering. Evidence-based guidelines recommend using validated and reliable assessment tools. We reviewed current national clinical guidelines, validated tools for assessing pain, agitation/sedation, and delirium. We also reviewed a delirium risk-assessment/prediction tool.
本文综述了有关神经重症监护病房（ICU）以及一般ICU环境中谵妄、疼痛、躁动的当前文献，以及循证指南和评估工具。ICU中的谵妄影响多达50%至80%的患者。谵妄与疾病负担增加、更高的死亡率以及痛苦加剧相关。循证指南建议使用经过验证且可靠的评估工具。我们回顾了当前的国家临床指南、用于评估疼痛、躁动/镇静和谵妄的经过验证的工具。我们还回顾了一种谵妄风险评估/预测工具。
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