Risk factors of delirium in patients with severe multiple trauma in trauma center

XU Xiaohang; GAO Hui; ZHAO Jiwei; WANG Yongxiang; SHI Xueqiang; SUN Hao

doi:10.7619/jcmp.20221502

Journal of Clinical Medicine in Practice > 2022 > 26(19): 38-41. > DOI: 10.7619/jcmp.20221502

XU Xiaohang, GAO Hui, ZHAO Jiwei, WANG Yongxiang, SHI Xueqiang, SUN Hao. Risk factors of delirium in patients with severe multiple trauma in trauma center[J]. Journal of Clinical Medicine in Practice, 2022, 26(19): 38-41. DOI: 10.7619/jcmp.20221502

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Risk factors of delirium in patients with severe multiple trauma in trauma center

1.
Clinical Medical College of Yangzhou University, Yangzhou, Jiangsu, 225000
2.
Trauma Center, Subei People's Hospital in Jiangsu Province, Yangzhou, Jiangsu, 225000

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Received Date: May 10, 2022
Available Online: October 23, 2022

Graphical Abstract

Abstract

Abstract

Objective
To investigate the occurrence and risk factors of delirium in patients with severe multiple injuries in trauma center.
Methods
A total of 168 patients with severe multiple injuries admitted from June 2021 to January 2022 were selected. The occurrence of delirium was assessed by the Confusion Assessment Method (CAM), and the patients were divided into delirium group (n=65) and non-delirium group (n=103) according to whether delirium occurred. The data of patients were collected and the risk factors of delirium were analyzed.
Results
Clinical data of 168 patients with severe multiple injuries in trauma center were collected, including 65 patients with delirium, with an incidence of 38.69%. There were significant differences in age, mechanical ventilation, hypoxemia (arterial partial pressure of oxygen < 60 mmHg), transferring from ICU to trauma center, coma during trauma, complicating with history of hypertension, brain trauma, invasive operation, and more serious disease between the two groups (P < 0.05). Multivariate Logistic regression analysis showed that age >60 years, mechanical ventilation, hypoxemia (arterial partial pressure of oxygen < 60 mmHg), transferring from ICU to trauma center, coma at the time of trauma, history of hypertension, traumatic brain injury, invasive procedures and severity of illness[Acute Physiology and Chronic Health Evaluation Ⅱ (APACHE Ⅱ) score>21 scores]were independent risk factors for delirium in patients with severe multiple trauma in trauma center.
Conclusion
Patients with severe multiple injuries in trauma center have higher incidence of delirium that involves many independent risk factorsand exerts influences in a wide range, so the measures should be taken in time when the problems are detected.
- trauma center,
- severe multiple injuries,
- delirium,
- risk factors,
- Confusion Assessment Method,
- Acute Physiology and Chronic Health Evaluation Ⅱ

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References (20)

References

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Risk factors of delirium in patients with severe multiple trauma in trauma center

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