| Title | PRIMJENA DIJAGNOSTIČKIH UPITNIKA ZA RANO OTKRIVANJE POSTOPERATIVNOG DELIRIJA U JEDINICI INTENZIVNOG LIJEČENJA NAKON KARDIOKIRURŠKIH ZAHVATA |
| Author | Matej Ivanda |
| Mentor(s) | Mladen Carev (thesis advisor)
|
| Abstract | Cilj istraživanja: Implementiranje dijagnostičkih upitnika CAM-ICU i ICDSC u kliničku praksu jedinice za intenzivno liječenje kardiokirurških pacijenata, određivanje incidencije delirija i čimbenika rizika za razvoj delirija.
Materijali i metode: Ovo je bila prospektivna studija provedena u Kliničko-bolničkom centru Split u razdoblju travnja i svibnja 2017. Godine. Korišteni su dijagnostički upitnici CAM-ICU i ICDSC, na populaciji od 61 pacijenta nakon kardiokirurške operacije. Ispitanici su evaluirani na dan ekstubacije, nakon potpisivanja pisanog pristanka i kratkog vremena prilagodbe na uvjete Jedinice intenzivne njege.
Rezultati: Incidencija postoperativnog delirija dobivena korištenjem CAM-ICU upitnika iznosila je 8%, a korištenjem ICDSC upitnika 9.8%, te kao takva spada u niže u odnosu na podatke u literaturi. Identificirani čimbenici rizika su trajanje operacije duže od 200 minuta, životna dob iznad 65 godina, korištenje izvantjelesne cirkulacije pri operaciji i produljena mehanička ventilacija, za koje je pronađena statistički značajna vjerojatnost sa vrijednosti P < 0.0001.
Zaključak: Incidencija postoperativnog delirija je niža u odnosu na predviđenu incidenciju delirija prema vodećoj literaturi. Potrebna su daljnja istraživanja kako bi se objasnila pozadina niže incidencije postoperativnog delirija. |
| Keywords | Emergence Delirium Surveys and Questionnaires Cardiac Surgical Procedures Intensive Care Units |
| Parallel title (English) | APPLICATION OF DIAGNOSTIC QUESTIONNAIRES FOR EARLY DETECTION OF POSTOPERATIVE DELIRIUM IN INTENSIVE CARE UNIT AFTER CARDIAC SURGERY |
| Granter | University of Split
School of Medicine |
| Lower level organizational units | Anesthesiology and intensive medicine |
| Place | Split |
| State | Croatia |
| Scientific field, discipline, subdiscipline | BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Anesthesiology and Reanimatology
|
| Study programme type | university |
| Study level | integrated undergraduate and graduate |
| Study programme | Medicine |
| Academic title abbreviation | dr. med. |
| Genre | master's thesis |
| Language | Croatian |
| Defense date | 2017 |
| Parallel abstract (English) | Objectives: Implementing of diagnostic questionnaires CAM-ICU and ICDSC in everyday clinical practice of Cardiac Surgery Intensive Care Unit, as well as finding incidence of postoperative delirium and determining risk factors for its onset.
Patients and Methods: A prospective study took place at University hospital of Split in April and May of 2017. A total of 61 patients were evaluted with CAM-ICU and ICDSC questionnaires after cardiac surgery. Patients were evaluated on the extubation day, after signing informed consent and short time of adaptation to Intensive Care Unit conditions.
Results: CAM-ICU showed 8% of postoperative delirium incidence, while ICDSC showed 9.8% of postoperative delirium incidence, which is lover than expected after examining literature. Identified risk factors include procedure duration longer than 200 minutes, age older than 65, procedures including extracorporeal circulation and prolonged mechanical ventilation, for which was found statistical significance with P value lower than 0.0001.
Conclusion: Postoperative delirium incidence is lower than suggested in leading medical literature. Further researches are required to determine background of lower incidence of postoperative delirium. |
| Parallel keywords (Croatian) | Postoperativni delirij Ankete i upitnici Kardiokirurški zahvati Jedinice intenzivnog liječenja |
| Resource type | text |
| Access condition | Open access |
| Terms of use |  |
| URN:NBN | https://urn.nsk.hr/urn:nbn:hr:171:161539 |
