THE ETIOLOGY AND AGE-RELATED PROPERTIES OF PATIENTS WITH DELIRIUM IN CORONARY INTENSIVE CARE UNIT AND ITS EFFECTS ON INHOSPITAL AND FOLLOW UP PROGNOSIS

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dc.authoriddemir, melik/0000-0003-1711-6707
dc.authoridCakir, Banu/0000-0001-6645-6527
dc.authoridKARDAS, FATiH/0000-0001-7370-3960
dc.authoridKaya, Caglar/0000-0002-2968-5352
dc.authorwosidaltay, servet/C-1387-2018
dc.authorwosiddemir, melik/AAC-1081-2022
dc.authorwosidCakir, Banu/AAC-6603-2022
dc.authorwosidDemir, Melik/HGE-0608-2022
dc.authorwosidKARDAS, FATiH/JOK-3455-2023
dc.authorwosidKaya, Caglar/GSN-9700-2022
dc.contributor.authorAltay, Servet
dc.contributor.authorGurdogan, Muhammet
dc.contributor.authorKaya, Caglar
dc.contributor.authorKardas, Fatih
dc.contributor.authorZeybey, Utku
dc.contributor.authorCakir, Burcu
dc.contributor.authorEbik, Mustafa
dc.date.accessioned2024-06-12T10:59:13Z
dc.date.available2024-06-12T10:59:13Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective - Delirium is a syndrome frequently encountered in intensive care and associated with a poor prognosis. Intensive care delirium is mostly based on general and palliative intensive care data in the literature. In this study, we aimed to investigate the incidence of delirium in coronary intensive care unit (CICU), related factors, its relationship with inhospital and follow up prognosis, incidence of age-related delirium and its effect on outcomes. Methods - This study was conducted with patients hospitalized in CICU of a tertiary university hospital between 01 August 2017 and 01 August 2018. Files of all patients were examined in details, and demographic, clinic and laboratory parameters were recorded. Patients confirmed with psychiatry consultation were included in the groups of patients who developed delirium. Patients were divided into groups with and without delirium developed, and baseline features, inhospital and follow up prognoses were investigated. In addition, patients were divided into four groups as <65 years old, 65-75 yo, 75-84 yo and> 85 yo, and the incidence of delirium, related factors and prognoses were compared among these groups. Results - A total of 1108 patients (mean age: 64.4 +/- 13.9 years; 66% men) who were followed in the intensive care unit with variable indications were included in the study. Of all patients 11.1% developed delirium in the CICU. Patients who developed delirium were older, comorbidities were more frequent, and these patients showed increased inflammation findings, and significant increase in inhospital mortality compared to those who did not develop delirium (p<0.05). At median 9-month follow up period, rehospitalization, reinfarction, cognitive dysfunction, initiation of psychiatric therapy and mortality were significantly higher in the delirium group (p<0.05). When patients who developed delirium were divided into four groups by age and analyzed, incidence of delirium and mortality rate in delirium group were significantly increased by age (p<0.05). Conclusion - Development of delirium in coronary intensive care unit is associated with increased inhospital and follow up morbidity and mortality. Delirium is more commonly seen in geriatric patients and those with comorbidity, and is associated with a poorer prognosis. High-risk patients should be more carefully monitored for the risk of delirium.en_US
dc.identifier.doi10.18071/isz.73.0189
dc.identifier.endpage197en_US
dc.identifier.issn0019-1442
dc.identifier.issn2498-6208
dc.identifier.issue5-6en_US
dc.identifier.pmid32579309en_US
dc.identifier.scopus2-s2.0-85087018884en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage189en_US
dc.identifier.urihttps://doi.org/10.18071/isz.73.0189
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20369
dc.identifier.volume73en_US
dc.identifier.wosWOS:000752177900006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLiteratura Medicaen_US
dc.relation.ispartofIdeggyogyaszati Szemle-Clinical Neuroscienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDelirium In Coronary Intensive Care Uniten_US
dc.subjectEtiologyen_US
dc.subjectInhospital Mortalityen_US
dc.subjectFollow-Up Mortalityen_US
dc.subjectMechanically Ventilated Patientsen_US
dc.subjectConfusion Assessment Methoden_US
dc.subjectTerm Cognitive Impairmenten_US
dc.subjectCritically-Ill Patientsen_US
dc.subjectPredictoren_US
dc.subjectDexmedetomidineen_US
dc.subjectGuidelinesen_US
dc.subjectMortalityen_US
dc.subjectSeverityen_US
dc.subjectAlbuminen_US
dc.titleTHE ETIOLOGY AND AGE-RELATED PROPERTIES OF PATIENTS WITH DELIRIUM IN CORONARY INTENSIVE CARE UNIT AND ITS EFFECTS ON INHOSPITAL AND FOLLOW UP PROGNOSISen_US
dc.typeArticleen_US

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