Alqadheeb N, Hashhoush M, Alharthy A, Mahmood N, Alfardan Z, Amin R, Maghrabi K, Almaani M, Alyamany M, Alenezi F, Alruwaili A, Alkhatib K, Rugaan A, Eltatar F, Algethamy H, Abudayah A, Ghabashi A, ElRakaiby G, Alkatheeri K, Alarifi M, Al Mubarak Y, Ismail N, Alnajdi I, Ahmed MI, Alansari M, Alenazi A, Almuslim O. Point prevalence of delirium among critically ill patients in Saudi Arabia: A multicenter observational study.
Int J Crit Illn Inj Sci 2022;
12:70-76. [PMID:
35845124 PMCID:
PMC9285125 DOI:
10.4103/ijciis.ijciis_76_21]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 12/28/2021] [Accepted: 12/30/2021] [Indexed: 11/15/2022] Open
Abstract
Background:
Delirium in critically ill patients is independently associated with poor clinical outcomes. There is a scarcity of published data on the prevalence of delirium among critically ill patients in Saudi Arabia. Therefore, we sought to determine, in a multicenter fashion, the prevalence of delirium in critically ill patients in Saudi Arabia and explore associated risk factors.
Methods:
A cross-sectional point prevalence study was conducted on January 28, 2020, at 14 intensive care units (ICUs) across 3 universities and 11 other tertiary care hospitals in Saudi Arabia. Delirium was screened once using the Intensive Care Delirium Screening Checklist. We excluded patients who were unable to participate in a valid delirium assessment, patients admitted with traumatic brain injury, and patients with documented dementia in their medical charts.
Results:
Of the 407 screened ICU patients, 233 patients were enrolled and 45.9% were diagnosed with delirium. The prevalence was higher in mechanically ventilated patients compared to patients not mechanically ventilated (57.5% vs. 33.6%; P < 0.001). In a multivariate model, risk factors independently associated with delirium included age (adjusted odds ratio [AOR], 1.021; 95% confidence interval [CI], 1.01–1.04; P = 0.008), mechanical ventilation (AOR, 2.39; 95% CI, 1.34–4.28; P = 0.003), and higher severity of illness (AOR, 1.01; 95% CI, 1.001–1.021; P = 0.026).
Conclusion:
In our study, delirium remains a prevalent complication, with distinct risk factors. Further studies are necessary to investigate long-term outcomes of delirium in critically ill patients in Saudi Arabia.
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