Delirium management and current practice among Intensive Care Units Doctors, Khartoum [version 3; peer review: 1 approved, 2 approved with reservations]
Delirium is a brain dysfunction characterized by attention and cognitive disturbances in a fluctuating manner. The international guidelines recommend daily screening for delirium. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and Intensive Care Delirium Screening Checklist (I...
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F1000 Research Ltd
2024-11-01
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| author | Mudawi Mohammed Ahmed Abdallah Sheema Hamid Seidna Hamid Hana Eltayeb Salih Elamin Ghada Omer Hamad Abd El-Raheem |
| author_facet | Mudawi Mohammed Ahmed Abdallah Sheema Hamid Seidna Hamid Hana Eltayeb Salih Elamin Ghada Omer Hamad Abd El-Raheem |
| author_sort | Mudawi Mohammed Ahmed Abdallah |
| collection | DOAJ |
| description | Delirium is a brain dysfunction characterized by attention and cognitive disturbances in a fluctuating manner. The international guidelines recommend daily screening for delirium. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and Intensive Care Delirium Screening Checklist (ICDSC) are the most commonly used methods for assessing delirium. This study aimed to identify barriers and gaps in knowledge and practice. This was a hospital-based Cross-Sectional study. Stratified random sampling was used in this study. 72 ICU doctors were randomly selected. Statistical analyses were performed using IBM SPSS version 23. Descriptive data were presented, and the chi-squared test was used to determine the associations among variables. Statistical significance was set at p < 0.05. More than 70% of the doctors were ≤ 30 years of age and female. A total of 69.4% of the participants had < 1year of experience. In total, 94.4% of the participants worked in medical ICUs. Less than 20% of the doctors used delirium assessment tools, with a statistically significant difference based on experience (p=0.012). Delirium was not regularly assessed in 13.9% of the patients. Non-pharmacological management was applied by 76.4% of doctors, and communication with patients was the most frequent (75%). Haloperidol was the most commonly used drug (83.3%). A total of 40.3% of doctors did not stop delirium medication on ICU discharge. A regular delirium assessment was performed. However, the use of validated assessment tools is uncommon. Nonpharmacological management of delirium is important and is mostly performed. Our doctors prescribed antipsychotics for the treatment of both forms of delirium, and almost half of them did not stop the medications on ICU discharge. Medication reconciliation and contact with the next in-charge of the patients are important. |
| format | Article |
| id | doaj-art-6f0e05d5894247c9bf60e3727a3d9070 |
| institution | Kabale University |
| issn | 2046-1402 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | F1000 Research Ltd |
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| series | F1000Research |
| spelling | doaj-art-6f0e05d5894247c9bf60e3727a3d90702025-02-07T01:00:02ZengF1000 Research LtdF1000Research2046-14022024-11-0113174773Delirium management and current practice among Intensive Care Units Doctors, Khartoum [version 3; peer review: 1 approved, 2 approved with reservations]Mudawi Mohammed Ahmed Abdallah0Sheema Hamid Seidna Hamid1Hana Eltayeb Salih Elamin2Ghada Omer Hamad Abd El-Raheem3https://orcid.org/0000-0001-5668-0859Medical Manager of Critical Care, Military Hospital, Omdurman, Khartoum, 11115, SudanClinical Pharmacy, Omdurman Islamic University, Omdurman, Khartoum, 11115, SudanResearch methodology and Biostatistics, University of Medical Sciences and Technology, Khartoum, Khartoum, 11111, SudanClinical pharmacy, Soba University Hospital, Khartoum, Khartoum, 11111, SudanDelirium is a brain dysfunction characterized by attention and cognitive disturbances in a fluctuating manner. The international guidelines recommend daily screening for delirium. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and Intensive Care Delirium Screening Checklist (ICDSC) are the most commonly used methods for assessing delirium. This study aimed to identify barriers and gaps in knowledge and practice. This was a hospital-based Cross-Sectional study. Stratified random sampling was used in this study. 72 ICU doctors were randomly selected. Statistical analyses were performed using IBM SPSS version 23. Descriptive data were presented, and the chi-squared test was used to determine the associations among variables. Statistical significance was set at p < 0.05. More than 70% of the doctors were ≤ 30 years of age and female. A total of 69.4% of the participants had < 1year of experience. In total, 94.4% of the participants worked in medical ICUs. Less than 20% of the doctors used delirium assessment tools, with a statistically significant difference based on experience (p=0.012). Delirium was not regularly assessed in 13.9% of the patients. Non-pharmacological management was applied by 76.4% of doctors, and communication with patients was the most frequent (75%). Haloperidol was the most commonly used drug (83.3%). A total of 40.3% of doctors did not stop delirium medication on ICU discharge. A regular delirium assessment was performed. However, the use of validated assessment tools is uncommon. Nonpharmacological management of delirium is important and is mostly performed. Our doctors prescribed antipsychotics for the treatment of both forms of delirium, and almost half of them did not stop the medications on ICU discharge. Medication reconciliation and contact with the next in-charge of the patients are important.https://f1000research.com/articles/13-456/v3Delirium CAM- ICDSC critically ill patients ICU current practiceeng |
| spellingShingle | Mudawi Mohammed Ahmed Abdallah Sheema Hamid Seidna Hamid Hana Eltayeb Salih Elamin Ghada Omer Hamad Abd El-Raheem Delirium management and current practice among Intensive Care Units Doctors, Khartoum [version 3; peer review: 1 approved, 2 approved with reservations] F1000Research Delirium CAM- ICDSC critically ill patients ICU current practice eng |
| title | Delirium management and current practice among Intensive Care Units Doctors, Khartoum [version 3; peer review: 1 approved, 2 approved with reservations] |
| title_full | Delirium management and current practice among Intensive Care Units Doctors, Khartoum [version 3; peer review: 1 approved, 2 approved with reservations] |
| title_fullStr | Delirium management and current practice among Intensive Care Units Doctors, Khartoum [version 3; peer review: 1 approved, 2 approved with reservations] |
| title_full_unstemmed | Delirium management and current practice among Intensive Care Units Doctors, Khartoum [version 3; peer review: 1 approved, 2 approved with reservations] |
| title_short | Delirium management and current practice among Intensive Care Units Doctors, Khartoum [version 3; peer review: 1 approved, 2 approved with reservations] |
| title_sort | delirium management and current practice among intensive care units doctors khartoum version 3 peer review 1 approved 2 approved with reservations |
| topic | Delirium CAM- ICDSC critically ill patients ICU current practice eng |
| url | https://f1000research.com/articles/13-456/v3 |
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