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Advantages of score-based delirium detection compared to a clinical delirium assessment—a retrospective, monocentric cohort study

Author

Listed:
  • Markus Jäckel
  • Nico Aicher
  • Xavier Bemtgen
  • Jonathan Rilinger
  • Viviane Zotzmann
  • Paul Marc Biever
  • Alexander Supady
  • Peter Stachon
  • Daniel Duerschmied
  • Tobias Wengenmayer
  • Christoph Bode
  • Dawid Leander Staudacher

Abstract

Purpose: Delirium is an underdiagnosed complication on intensive care units (ICU). We hypothesized that a score-based delirium detection using the Nudesc score identifies more patients compared to a traditional diagnosis of delirium by ICU physicians. Methods: In this retrospective study, all patients treated on a general medical ICU with 30 beds in a university hospital in 2019 were analyzed. Primary outcome was a documented physician diagnosis of delirium, or a delirium score ≥2 using the Nudesc. Results: In 205/943 included patients (21.7%), delirium was diagnosed by ICU physicians compared to 438/943 (46.4%; ratio 2.1) by Nudesc≥2. Both assessments were independent predictors of ICU stay (p

Suggested Citation

  • Markus Jäckel & Nico Aicher & Xavier Bemtgen & Jonathan Rilinger & Viviane Zotzmann & Paul Marc Biever & Alexander Supady & Peter Stachon & Daniel Duerschmied & Tobias Wengenmayer & Christoph Bode & D, 2021. "Advantages of score-based delirium detection compared to a clinical delirium assessment—a retrospective, monocentric cohort study," PLOS ONE, Public Library of Science, vol. 16(11), pages 1-13, November.
  • Handle: RePEc:plo:pone00:0259841
    DOI: 10.1371/journal.pone.0259841
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