What is the Delirium Bibliography? The searchable Delirium Bibliography page is one of our most popular features, allowing you to quickly gain access to the literature on delirium and acute care of older persons. It is primarily intended for clinicians and researchers interested in exploring these topics. The NIDUS team keeps it updated for you on a monthly basis!
How to Search for Articles: Search by author, title, year, and/or keywords. Each article is indexed by keywords taken from MEDLINE and other relevant databases. Click on the title of the article to read the abstract, journal, etc.
Reference Information
- Title
- Factors Influencing CAM-ICU Documentation and Inappropriate "Unable to Assess" Responses
- Authors
- Awan, O. M. Buhr, R. G. Kamdar, B. B.
- Year
- 2021
- Journal
- Am J Crit Care
- Abstract
BACKGROUND: Detecting delirium with standardized assessment tools such as the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is important, but such detection is frequently hampered by poor documentation and inappropriate “unable to assess” responses (in noncomatose patients). OBJECTIVE: To identify patient, clinical, and workplace factors that may impede or facilitate appropriate delirium assessment through use of the CAM-ICU, specifically documentation and inappropriate “unable to assess” responses. METHODS: An electronic health record-based data set was used to quantify CAM-ICU documentation and inappropriate “unable to assess” responses during 24 months. Associated patient (eg, age), clinical (eg, diagnosis), and workplace (eg, geographic location within the ICU, shift) factors were evaluated with multivariable regression. RESULTS: Of 28 586 CAM-ICU documentation opportunities, 66% were documented; 16% of documentations in alert or lightly sedated patients had inappropriate “unable to assess” responses. Night shift was associated with lower CAM-ICU documentation rates (P = .001), whereas physical restraints and location on side B (rather than side A) of the ICU were associated with higher documentation rates (P < .05 for both). Age older than 80 years, non-White race, intubation, and physical restraints were associated with more inappropriate “unable to assess” responses (all P < .05), as was infusion of propofol, midazolam, dexmedetomidine, or fentanyl (all P < .05). CONCLUSION: Data from electronic health records can identify patient, clinical, and workplace factors associated with CAM-ICU documentation and inappropriate “unable to assess” responses, which can help target quality improvement efforts related to delirium assessment.
- PMID
- Keywords
Aged, 80 and over
*Delirium/diagnosis
Documentation
Humans
Intensive Care Units
*Nursing Care
Restraint, Physical
- Page(s)
- 31119597
- Volume
- Issue
| Title | Authors | Journal | Year | Keywords |
|---|---|---|---|---|
| Undiagnosed delirium is frequent and difficult to predict: Results from a prevalence survey of a tertiary hospital. | Lange, P. W. Lamanna, M. Watson, R. Maier, A. B. | J Clin Nurs | 2019 |
Undiagnosed delirium |