Investigation of The Frequency of Delirium in Different Departments in the Yazd Shohadaye Kargar Hospital

Abstract

Introduction: Delirium is an acute and transient disturbance in brain function. Delirium was very seen in hospitalized patients, especially after surgery. But a high percentage of cases were not diagnosed and treated so, these patients involve next consequence. According to this issue, the aim of this study was to assess the prevalence of delirium in the different departments of Yazd Shohadaye Kargar hospital (orthopedics, surgery, internal medicine, and ICU). Methods: This cross-sectional study was done on 256 hospitalized patients in departments of surgery, orthopedics, internal medicine, and ICU of Shohadaye Kargar hospital, Yazd, Iran in 2015. Data was collected by ICU-CAM questionnaire. Acquired data were analyzed using descriptive statistics, chi-square, and Fisher exact test. Results: There was 15 (26.8), 4 (8%), 5 (10%), 14 (28%), and zero (0%) patients with delirium in the internal medicine, surgery, orthopedics, ICU and women department, respectively. Delirium was seen in 2 cases (11.1%) underwent major surgery and 8 cases (7.1%) underwent minor surgery. The frequency of delirium was more in the patients with underlying and psychological disease. The prevalence of delirium had no significantly correlation with age. The most prevalence of delirium was observed in the age range 65-94 years. The Patients with the underlying disease such as diabetes, HTN, heart diseases, and mental illnesses, were more vulnerable. The highest incidence of delirium was seen in the second and third days of hospitalization. Conclusion: Based on the observed incidence of delirium, personnel training seems necessary for prevention, diagnosis and treatment of this disease.

Keywords

• Delirium
• Different wards of Hospital
• Underlying Disease
• ICU-CAM questionnaire