scholarly journals The Polish Version of the Nursing Delirium Screening Scale (NuDESC PL)-Experience of Using in Nursing Practice in Cardiac Surgery Intensive Care Unit

2021 ◽  
Vol 18 (19) ◽  
pp. 10108
Author(s):  
Sabina Krupa ◽  
Ozga Dorota ◽  
Adriano Friganovic ◽  
Wioletta Mędrzycka-Dąbrowska ◽  
Krzysztof Jurek
Keyword(s):  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Early Stage ◽  
Statistical Significance ◽  
Night Shift ◽  
Common Diagnosis ◽  
Polish Version ◽  
Nursing Delirium Screening Scale ◽  
Screening Scale

Introduction: Delirium is a common complication of patients hospitalized in Intensive care units (ICU). The risk of delirium is estimated at approximately 80% in intensive care units. In the case of cardiac surgery ICU, the risk of delirium increases due to the type of procedures performed with the use of extracorporeal circulation. The aim of this study was to provide an official translation and evaluation of Nursing Delirium Screening Scale (NuDESC) into Polish. The NuDESC scale is a scale used by nurses around the world to detect delirium at an early stage in treatment. Methods: The method used in the study was the NuDESC tool, which was translated into Polish. The study was conducted by Cardiac ICU nurses during day shift (at 8 a.m.), night shift (at 8 p.m.) and in other situations where the patients showed delirium-like symptoms. Results: Statistically significant differences were observed between the first and second day in the studied group of patients in the case of illusions/hallucinations. Delirium occurred more frequently during the night, but statistical significance was demonstrated for both daytime and nighttime shifts. It was not demonstrated in relation to the NuDESC scale in the case of insomnia disorders. The diagnosis of delirium and disorientation was the most common diagnosis observed in patients on the first day of their stay in the ICU, followed by problems with communication. Delirium occurred on the first day, mainly at night. On the second day, delirium was much less frequent during the night; the biggest problem was disorientation and problems with communication. Conclusion: This study contributed to the development of the Polish version of the scale (NuDESC PL) which is now used as the Polish screening tool for delirium detection. The availability of an easy-to-use nurse-based delirium instrument is a prerequisite for widespread implementation.

scholarly journals Screening of Cardiac Surgery Patients - Polish Validation 4AT Tool

2020 ◽  
Author(s):  
Sabina Krupa ◽  
Dorota Ozga ◽  
Lucyna Tomaszek ◽  
Theofanis Tsevis ◽  
Krzysztof Jurek ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Intensive Care ◽  
Informed Consent ◽  
Geriatric Patients ◽  
Early Stage ◽  
Age Groups ◽  
Reliability And Validity ◽  
The Third ◽  
Polish Version ◽  
Validation Tool

Abstract IntroductionDelirium is a phenomenon which affects patients with various disorders and representing various age groups. Screening instruments make it possible to diagnose the condition at an early stage and to prevent its development. The article presents validation of the 4AT instrument, i.e. a two-minute test used to identify delirium.ObjectivesThe aim of the present study was to examine the reliability and validity of the Polish version of the 4AT (Pol4-AT) for use by nurses working in intensive care units.Patients and MethodsThe 4AT test was used to assess 444 patients at a cardiac surgery ward, on their sixth day in hospital, and the third day following a surgery. The patients were selected at random (in sequence any patient returning from a surgery and staying in hospital for six days). The conditions for entering the study included the subjects’ informed consent and age >18 years. ResultsThe current findings show that the 4AT scale can effectively be used in Poland, not only in geriatric patients but also at surgical wards and at ICUs. The study showed Cronbach’s alpha amounting to 0.843. ConclusionsThere is currently no validation tool in Poland that can be used in the diagnosis and screening of delirium. The CAM and CAM ICU scales, despite the fact that they have been translated into Polish, are not a standard used in practice in Poland

scholarly journals Psychometric Properties of Nursing Delirium Screening Scale in Patients admitted to Intensive Care Units

2021 ◽  
Vol 25 (6) ◽  
pp. 680-684
Author(s):  
Mehdi Heidarzadeh ◽  
Zohreh Amirajam ◽  
Elham Asadi-Noran ◽  
Behnam Molaei ◽  
Vahid Adiban ◽  
...  
Keyword(s):  
Intensive Care ◽  
Psychometric Properties ◽  
Intensive Care Units ◽  
Nursing Delirium Screening Scale ◽  
Screening Scale

Characteristics and outcome of admissions to general intensive care units following cardiac surgery

2004 ◽  
Vol 21 (Supplement 33) ◽  
pp. 25
Author(s):  
S. M. Walther ◽  
D. A. Harrison ◽  
A. R. Brady ◽  
K. Rowan
Keyword(s):  
Cardiac Surgery ◽  
Intensive Care ◽  
Intensive Care Units

scholarly journals Νοσηλευτική προσέγγιση ασθενών με delirium μετά από καρδιοχειρουργική επέμβαση

2015 ◽  
Author(s):  
Ηλίας Τσαγγαλάς
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Assessment Method ◽  
Nursing Delirium Screening Scale ◽  
Screening Scale

Το οξύ μετεγχειρητικό οργανικό ψυχοσύνδρομο (delirium) αποτελεί συχνή επιπλοκή μετά από καρδιοχειρουργικές επεμβάσεις. Χαρακτηρίζεται από αποπροσανατολισμό του ασθενούς, συχνότερα στη Μονάδα Εντατικής Θεραπείας, ως προς τον χώρο και το χρόνο, πολλές φορές συνοδευόμενο από επιθετική ή αυτοκαταστροφική συμπεριφορά. Σκοπός της παρούσης μελέτης είναι η έρευνα της επίδρασης-αποτελεσματικότητας συγκεκριμένων νοσηλευτικών παρεμβάσεων στην αντιμετώπιση του παραληρήματος.Υλικό και Μέθοδος. Συμπεριλάβαμε στη μελέτη 47 ασθενείς που εμφάνισαν delirium επί συνόλου 184 ασθενών που συνολικά υποβλήθηκαν σε μείζονα καρδιοχειρουργική επέμβαση (CABG, AVR, MVR, συνδυασμένες επεμβάσεις, Ανεύρυσμα και Διαχωρισμός Θωρακικής Αορτής) την αντίστοιχη περίοδο, διάρκειας 18 μηνών. Οι ασθενείς ελέγχθηκαν ως προς το σύνδρομο με τις κλίμακες CAM -ICU (Confusement Assessment Method for Intensive Care Unit) και Nu DeSc (Nursing Delirium Screening Scale). Στη συνέχεια χωρίστηκαν σε τέσσερις ομάδες: μία ομάδα ελέγχου χωρίς επιπλέον παρεμβάσεις, μία ομάδα στην οποία δόθηκε στους ασθενείς δυνατότητα για ακρόαση μουσικής για 20 λεπτά δύο φορές την ημέρα, μία ομάδα στην οποία εφαρμόστηκε επιπλέον πρόγραμμα φυσικοθεραπείας, και τέλος, μία ομάδα με δυνατότητα δύο επιπλέον επισκέψεων διαρκείας εικοσαλέπτου από οικείους, ημερησίως.Αποτελέσματα. Στη μελέτη συμμετείχαν 152 (83%) άνδρες και 32 (17%) γυναίκες. Ο μέσος όρος ηλικίας και των δύο φύλων χωρίς delirium ήταν 61.55±7.9 ετών και με delirium ήταν 68.97±8.1 ετών. Οι ασθενείς στους οποίους εφαρμόστηκαν υποστηρικτικές παρεμβάσεις είχαν βελτιωμένη συμπεριφορά ως προς το delirium με βάση τα αποτελέσματα στις κλίμακες μετρήσεως. Πιο συγκεκριμένα, οι ασθενείς με την ακρόαση μουσικής πριν την παρέμβαση είχαν μέσο όρο σε score 4.8±0.7 και μετά την παρέμβαση score 3.2±0.4 με (p< 0.01). Αυτοί της ομάδας φυσικοθεραπείας είχαν μέσο όρο σε score 4.7±0.6 και μετά την παρέμβαση score 3.6±0.4 με (p< 0.05). Τέλος αυτοί με τη δυνατότητα επιπλέον επισκεπτηρίου είχαν μέσο όρο σε score 5±0.7 και μετά την παρέμβαση score μέσο όρο 4.0±0.5 με (p< 0.05). Η διάρκεια του παραληρήματος υπήρξε πολύ μικρότερη στις ομάδες παρέμβασης σε σύγκριση με την ομάδα ελέγχου που δεν έλαβε παρέμβασης (32 ± 3, ± 36 4 και 38 ± 4 vs 48 ± 9 ώρες αντίστοιχα).Συμπεράσματα. Οι υποστηρικτικές, μη φαρμακευτικής φύσεως παρεμβάσεις, βοηθούν στη βελτίωση της εικόνας των ασθενών με delirium μετά από καρδιοχειρουργικές επεμβάσεις

Validation of the Swedish version of the Nursing Delirium Screening Scale used in patients 70 years and older undergoing cardiac surgery

2013 ◽  
Vol 22 (19-20) ◽  
pp. 2858-2866 ◽  
Author(s):  
Helena Claesson Lingehall ◽  
Nina Smulter ◽  
Karl Gunnar Engström ◽  
Yngve Gustafson ◽  
Birgitta Olofsson
Keyword(s):  
Cardiac Surgery ◽  
Swedish Version ◽  
Nursing Delirium Screening Scale ◽  
Screening Scale

scholarly journals Assessment of Respiratory Bacterial Coinfections Among Severe Acute Respiratory Syndrome Coronavirus 2-Positive Patients Hospitalized in Intensive Care Units Using Conventional Culture and BioFire, FilmArray Pneumonia Panel Plus Assay

2020 ◽  
Vol 7 (11) ◽  
Author(s):  
Camille Kolenda ◽  
Anne-Gaëlle Ranc ◽  
Sandrine Boisset ◽  
Yvan Caspar ◽  
Anne Carricajo ◽  
...  
Keyword(s):  
Intensive Care ◽  
Severe Acute Respiratory Syndrome ◽  
Intensive Care Units ◽  
Bacterial Infections ◽  
Early Stage ◽  
Bacterial Load ◽  
Empiric Antibiotic Therapy ◽  
Molecular Diagnostic ◽  
Oral Flora ◽  
Conventional Culture

Abstract Background Approximately 15% of patients infected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) present with severe forms of the disease and require hospitalization in intensive care units, which has been associated with high mortality rates. The prevalence of bacterial infections in these patients is not well established, and more data are needed to guide empiric antibiotic therapy and improve patient outcomes. Methods In this prospective multicenter study, we assessed bacterial coinfections identified in culture from 99 French patients infected by SARS-Cov-2 and hospitalized in intensive care units. We concomitantly evaluated an innovative molecular diagnostic technology technique, the BioFire, FilmArray Pneumonia Panel plus (FA-pneumo) assay, to identify these coinfections at an early stage, and its concordance with conventional culture. Results We showed that a bacterial coinfection was detected in 15% of patients based on conventional culture. Staphylococcus aureus and Haemophilus influenzae were the most prevalent pathogens. The sensitivity of FA-pneumo compared with culture was 100%. In contrast, the specificity varied between 88.4% and 100% according to the pathogen, and our results highlighted that 60.5% of bacterial targets reported using this assay were not recovered by culture; 76.9% of discordant results corresponded to bacteria belonging to commensal oral flora and/or reported with ≤105 copies/mL bacterial nucleic acids. Conclusions Based on its excellent sensitivity, the FA-pneumo assay is useful to rule out bacterial coinfections in the context of severe SARS-CoV-2 infection and avoid the inappropriate prescription of antibiotics. However, positive tests should be interpreted carefully, taking into consideration deoxyribonucleic acid bacterial load and all clinical and biological signs.

scholarly journals Sleep, quality of life and mood of nursing professionals of pediatric intensive care units

2016 ◽  
Vol 50 (2) ◽  
pp. 279-285 ◽  
Author(s):  
Priscilla Caetano Guerra ◽  
Nilton Ferraro Oliveira ◽  
Maria Teresa de Sande e Lemos Ramos Ascensão Terreri ◽  
Claudio Arnaldo Len
Keyword(s):  
Quality Of Life ◽  
Intensive Care ◽  
Sleep Quality ◽  
Intensive Care Units ◽  
Statistical Significance ◽  
Pediatric Intensive Care ◽  
Pediatric Intensive Care Units ◽  
Sleeping Problems ◽  
Nursing Professionals

Abstract OBJECTIVE To assess sleep, quality of life and mood of nursing professionals of pediatric intensive care units. METHOD Quantitative, cross-sectional and descriptive study. Professionals grouped by morning, afternoon and evening shifts were assessed by means of the instruments: Morningness-Eveningness Questionnaire; Pittsburgh Sleep Quality Index; Epworth Sleepiness Scale; Generic questionnaire for the assessment of quality of life (SF-36); Beck Depression Inventory; Beck Anxiety Inventory; State-Trait Anxiety Inventory. RESULTS Sample consisted of 168 professionals, with prevalence of neutral typology (57.49%). There was no statistical significance regarding sleep, despite scores showing a poor quality of sleep and excessive daytime sleepiness for the three shifts. Quality of life did not reveal any statistical significance, but in the field "social role functioning" of the evening shift, a lower score was observed (p<0.007). There was no statistical significance regarding levels of anxiety and depression. CONCLUSION The results suggest that these professionals may present sleeping problems, but they do not have lower scores of quality of life or mood disorders. Likely explanations for these findings may include an adaptation to their work type over time and the fact that working with children is rewarding.

scholarly journals EARLY STAGE RESPONSES OF INTENSIVE CARE UNITS DURING MAJOR DISASTERS: FROM THE EXPERIENCES OF THE GREAT EAST JAPAN EARTHQUAKE

2015 ◽  
Vol 61 (1) ◽  
pp. 32-37
Author(s):  
JIRO SHIMADA ◽  
CHOICHIRO TASE ◽  
YASUHIKO TSUKADA ◽  
ARIFUMI HASEGAWA ◽  
HIROSHI IIDA
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Early Stage ◽  
Great East Japan Earthquake

scholarly journals Basic Principles of Antibiotics Dosing in Patients with Sepsis and Acute Kidney Damage Treated with Continuous Venovenous Hemodiafiltration

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Aleksandra Nikolić ◽  
Sasa Jaćović ◽  
Željko Mijailović ◽  
Dejan Petrović
Keyword(s):  
Intensive Care ◽  
Renal Clearance ◽  
Intensive Care Units ◽  
Flow Rate ◽  
Early Stage ◽  
Target Therapy ◽  
Kidney Damage ◽  
Dialysis Dose ◽  
Continuous Venovenous Hemodiafiltration ◽  
The Impact

Abstract Sepsis is the leading cause of acute kidney damage in patients in intensive care units. Pathophysiological mechanisms of the development of acute kidney damage in patients with sepsis may be hemodynamic and non-hemodynamic. Patients with severe sepsis, septic shock and acute kidney damage are treated with continuous venovenous hemodiafiltration. Sepsis, acute kidney damage, and continuous venovenous hemodiafiltration have a significant effect on the pharmacokinetics and pharmacodynamics of antibiotics. The impact dose of antibiotics is increased due to the increased volume of distribution (increased administration of crystalloids, hypoalbuminemia, increased capillary permeability syndrome toproteins). The dose of antibiotic maintenance depends on renal, non-renal and extracorporeal clearance. In the early stage of sepsis, there is an increased renal clearance of antibiotics, caused by glomerular hyperfiltration, while in the late stage of sepsis, as the consequence of the development of acute renal damage, renal clearance of antibiotics is reduced. The extracorporeal clearance of antibiotics depends on the hydrosolubility and pharmacokinetic characteristics of the antibiotic, but also on the type of continuous dialysis modality, dialysis dose, membrane type, blood flow rate, dialysis flow rate, net filtration rate, and effluent flow rate. Early detection of sepsis and acute kidney damage, early target therapy, early administration of antibiotics at an appropriate dose, and early extracorporeal therapy for kidney replacement and removal of the inflammatory mediators can improve the outcome of patients with sepsis in intensive care units.

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