In addition, the risk factors for developing delirium among mechanically ventilated surgical and trauma ICU patients have yet to be defined. To date, however, there have been no prospective studies performed in surgical and trauma patients, using standardized tools to identify the true prevalence in this population of patients. In light of this, the Society of Critical Care Medicine (SCCM) has proposed guidelines 6 for more routine and diligent monitoring of delirium, using the CAM-ICU. The development of tools such as the Confusion Assessment Method for the ICU (CAM-ICU) 4 and the Intensive Care Delirium Screening Checklist 5 have allowed for the rapid diagnosis of delirium in patients (even while mechanically ventilated) by non-psychiatric physicians and other healthcare personnel. 2 Additionally patients with delirium may experience significant cognitive impairment long after discharge. Recent studies using standardized and validated tools have shown that delirium is significantly under-diagnosed, 1, 4 not limited to the elderly patient, and more importantly is a predictor of a 3-fold higher mortality over 6 months 1 and higher cost of care. Although health care providers have long recognized components of this syndrome, delirium has been historically dismissed as an expected complication of the hospitalized elderly patient, and its impact on outcomes thought to be negligible. Submit yourself to casting calls, auditions - Get a call when Casting directors wants you.Delirium is a global disturbance of consciousness characterized by fluctuating mental status, inattention, and disorganized thinking.
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